Green Valley Therapy, L.L.C.
Organization Active NPI Clinical Social Worker · Boonsboro, MD
NPI 1104773399 · NPPES record last updated Mar 16, 2026
Key facts
- NPI
- 1104773399
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- Legal business name
- GREEN VALLEY THERAPY, L.L.C.
- Practice address
- 9 Saint Paul St Ste 2
Boonsboro, MD 21713-1334 - Phone
- (301) 381-4586
- NPI assigned
- Mar 16, 2026
- Organization subpart
- Yes
- Parent organization (as reported)
- GREEN VALLEY THERAPY, L.L.C.
Authorized official
- Name
- Dianne Wenczkowski
- Title
- Credentialing Specialist
- Phone
- (301) 381-4586
Corporate family (same tax ID) 3
National Provider Directory
- Tax ID family
- Green Valley Therapy LLC
- Part of
- Green Valley Therapy LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor |
101YM0800X | |||
| Clinical Social Worker |
1041C0700X | Yes | ||
| Psychiatric/Mental Health Nurse Practitioner |
363LP0808X |
Addresses
Primary practice location
9 Saint Paul St Ste 2
Boonsboro, MD 21713-1334
Mailing address
9 Saint Paul St Ste 2
Boonsboro, MD 21713-1334
Phone (301) 381-4586
Other providers in Boonsboro, MD
- Shannon Marie Fender
- Kenneth Anson Film
- Michael Fitzgerald
- Kelly Ann Flemming
- Edward James Galligan
- Kristen Grim
- Kendall Paige Harne
- Colleen Moss Harnett
- Dusty Grace Harr
- Justin Arvin Haugh
All providers in Boonsboro, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 16, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.