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NPI 1013497700 · live from the CMS NPI Registry

Adventist Physician Services, INC.

Social Worker, Clinical in Takoma Park, MD. National Provider Identifier 1013497700, active.

NPI record

NPI1013497700 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location7610 Carroll Ave Ste 410, Takoma Park, MD 20912
Practice phone301-891-5079
Mailing address820 W Diamond Ave, Gaithersburg, MD 20878
EnumeratedAugust 21, 2018
Last updatedMay 3, 2023
Authorized officialKristen Pulio, Svp/Cfo
Other namesAdventist Medical Group

Taxonomies and licenses

TaxonomyCodeLicense
Psychiatry & Neurology, Psychiatry2084P0800X—
Social Worker, Clinical primary1041C0700X—

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