NPI 1174881213 · live from the CMS NPI Registry
A New Beginning
Social Worker, Clinical in Frederick, MD. National Provider Identifier 1174881213, active.
NPI record
| NPI | 1174881213 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 120 W Church St, 2, Frederick, MD 21701 |
| Practice phone | 240-415-8128 |
| Mailing address | 402 Pearl St, Frederick, MD 21701 |
| Enumerated | April 26, 2012 |
| Last updated | April 26, 2012 |
| Authorized official | Amanda Showe, Clinical Social Worker |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | 16559 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.