PETALS BEHAVIORAL NPI 1669072633

NPI Information

  • NPI: 1669072633
  • Provider Name: PETALS BEHAVIORAL
  • Classification: Social Worker - 1041C0700X
  • Specialization: Clinical
  • Entity Type: Organization
  • Address: 12623 EPPING RD
    SILVER SPRING, MD
    ZIP 20906
  • Phone: (617) 777-0764

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NPI Details

PETALS BEHAVIORAL is a clinical social worker in Silver Spring, 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. PETALS BEHAVIORAL NPI is 1669072633. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

12623 EPPING RD
SILVER SPRING, MD
ZIP 20906-865
Phone: (617) 777-0764

The provider's authorized official is Chekwube Nwabueze .
The authorized official title is Ceo/clinical Director and has the following contact phone number (617) 777-0764.

The enumeration date for this NPI number is 10/29/2020 and was last updated on 10/25/2025.

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 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: 11/21/2025

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