NPI 1245853480 · live from the CMS NPI Registry
2mpact Services, LLC
Social Worker, Clinical in Bear, DE. National Provider Identifier 1245853480, active.
NPI record
| NPI | 1245853480 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 125 Rickey Blvd Unit 246, Bear, DE 19701 |
| Practice phone | 302-397-1955 |
| Mailing address | 125 Rickey Blvd, Unit #246, Bear, DE 19701 |
| Enumerated | May 21, 2020 |
| Last updated | December 4, 2025 |
| Authorized official | Alchemy Green, Founder, Ceo |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Public Health or Welfare | 251K00000X | — |
| Clinic/Center, Rehabilitation | 261QR0400X | — |
| Counselor, Mental Health | 101YM0800X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Community/Behavioral Health | 251S00000X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.