Wellformed AI

NPI 1013042639 · live from the CMS NPI Registry

Advanced Behavioral Solutions

Social Worker, Clinical in Glen Burnie, MD. National Provider Identifier 1013042639, active.

NPI record

NPI1013042639 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location7215 Judy Rd, Glen Burnie, MD 21060
Practice phone443-710-2558
EnumeratedFebruary 22, 2007
Last updatedDecember 11, 2007
Authorized officialAlisha Fletcher, President

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X13082 (MD)

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.