Provider Type Icon

CHMG CORELIFE LLC NPI 1316654460


NPI Information

NPI: 1316654460
Provider Name: CHMG CORELIFE, LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
1036 SAINT NICHOLAS DR UNIT 101
WALDORF, MD
ZIP 20603
Phone: (240) 261-7170
Get Directions

CHMG CORELIFE, 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. CHMG CORELIFE, LLC NPI is 1316654460. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

1036 SAINT NICHOLAS DR UNIT 101
WALDORF, MD
ZIP 20603-758
Phone: (240) 261-7170

The provider's authorized official is Carolyn Heithaus .
The authorized official title is Cfo and has the following contact phone number (410) 535-8236.

The enumeration date for this NPI number is 10/28/2022 and was last updated on 1/16/2024.


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
1363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
2101YM0800XCounselorMental HealthNo
3104100000XSocial WorkerNo
42084B0002XPsychiatry & NeurologyObesity MedicineNo
51041C0700XSocial 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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.