NPI 1124491162 · live from the CMS NPI Registry
A Healing Journey
Social Worker, Clinical in Rockville, MD. National Provider Identifier 1124491162, active.
NPI record
| NPI | 1124491162 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 3204 Tower Oaks Blvd, Suite 175, Rockville, MD 20852 |
| Practice phone | 240-780-2380 |
| Enumerated | November 12, 2015 |
| Last updated | November 12, 2015 |
| Authorized official | Cristy Novotney, Psychotherapist |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 17463 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.