Wellformed AI

NPI 1932885266 · live from the CMS NPI Registry

Clinical Solutions

Registered Nurse, Psych/Mental Health, Child & Adolescent in Burtonsville, MD. National Provider Identifier 1932885266, active.

NPI record

NPI1932885266 Type 2 · organization
StatusActive
Primary specialtyRegistered Nurse, Psych/Mental Health, Child & Adolescent 163WP0807X
Practice location4000 Blackburn Ln Ste 150, Burtonsville, MD 20866
Practice phone301-421-4241
EnumeratedJune 22, 2023
Last updatedJune 22, 2023
Authorized officialLuis Argueta, Hr Specialist

Taxonomies and licenses

TaxonomyCodeLicense
Counselor, Addiction (Substance Use Disorder)101YA0400X—
Counselor, Mental Health101YM0800X—
Social Worker104100000X—
Registered Nurse, Psych/Mental Health, Adult163WP0809X—
Registered Nurse, Psych/Mental Health, Child & Adolescent primary163WP0807X—

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