Wellformed AI

NPI 1972458685 · live from the CMS NPI Registry

5-Star Therapy And Family Services

Social Worker, Clinical in Laurel, MD. National Provider Identifier 1972458685, active.

NPI record

NPI1972458685 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location9811 Robinson Blvd, Laurel, MD 20723
Practice phone240-813-3083
Mailing address18310 Montgomery Village Ave Ste 300, Gaithersburg, MD 20879
EnumeratedFebruary 27, 2026
Last updatedFebruary 27, 2026
Authorized officialDiana Castellon, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Case Management251B00000X—
Community/Behavioral Health251S00000X—
Social Worker, Clinical primary1041C0700X—

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