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SOUTHERN MARYLAND COUNSELING & COACHING LLC NPI 1285177600


NPI Information

NPI: 1285177600
Provider Name: SOUTHERN MARYLAND COUNSELING & COACHING, LLC

Doing Business As: TRUE BLUE BEHAVIORAL HEALTH

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
3261 OLD WASHINGTON RD STE 2020
WALDORF, MD
ZIP 20602
Phone: (240) 435-4708
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SOUTHERN MARYLAND COUNSELING & COACHING, LLC is a clinical social worker in Waldorf, MD. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. SOUTHERN MARYLAND COUNSELING & COACHING, LLC NPI is 1285177600. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As True Blue Behavioral Health.

The provider's business location address is:

3261 OLD WASHINGTON RD STE 2020
WALDORF, MD
ZIP 20602-231
Phone: (240) 435-4708

The provider's authorized official is Davidra T Bazemore-blue .
The authorized official title is Owner/clinical Director and has the following contact phone number (202) 997-6060.

The enumeration date for this NPI number is 12/2/2016 and was last updated on 6/9/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11041C0700XSocial WorkerClinical19114MARYLANDNo
21041C0700XSocial WorkerClinicalYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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