NPI 1013375757 · live from the CMS NPI Registry
Adaptive Therapy, INC.
Social Worker, Clinical in La Plata, MD. National Provider Identifier 1013375757, active.
NPI record
| NPI | 1013375757 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 109 La Grange Ave, Suite 102, La Plata, MD 20646 |
| Practice phone | 240-253-7051 |
| Mailing address | 6015 New Forest Ct, Apt 5, Waldorf, MD 20603 |
| Enumerated | February 9, 2016 |
| Last updated | February 9, 2016 |
| Authorized official | Olimpia Etts, Partner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 15217 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.