NPI 1831636364 · live from the CMS NPI Registry
A New Leaf Therapy, LLC
Social Worker, Clinical in Olney, MD. National Provider Identifier 1831636364, active.
NPI record
| NPI | 1831636364 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 2911 Olney Sandy Spring Rd Ste A, Olney, MD 20832 |
| Practice phone | 202-487-8450 |
| Mailing address | 6597 Quiet Hours, Apartment 202, Columbia, MD 21045 |
| Enumerated | January 23, 2017 |
| Last updated | January 23, 2017 |
| Authorized official | Grace Nyblade, Owner |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical | 1041C0700X | 18412 (MD) |
| Social Worker, Clinical primary | 1041C0700X | 13961 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.