Green Valley Therapy, L.L.C.

Primary specialty

Clinical Social WorkerTaxonomy code 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

Last updated

Mar 16, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

GREEN VALLEY THERAPY, L.L.C.As reported in NPPES

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dianne Wenczkowski

Title

Credentialing Specialist

Phone

(301) 381-4586

Specialties & licenses 3

Addresses

Tax ID family

Green Valley Therapy LLC4 organizations share this tax ID, including this one

Part of

Green Valley Therapy LLC

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

• Green Valley Therapy, L.L.C.

  • Clinical Social Worker
  • New Market, MD
  • NPI 1457069858
  NPD tax ID
• Green Valley Therapy, L.L.C.

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1508754540
  NPD tax ID
• Green Valley Therapy, L.L.C.

  • Clinical Social Worker
  • New Market, MD
  • NPI 1831086479
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1773619200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1773619200000",
    "number": "1104773399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9 SAINT PAUL ST STE 2",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131334",
            "telephone_number": "301-381-4586"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 SAINT PAUL ST STE 2",
            "city": "BOONSBORO",
            "state": "MD",
            "postal_code": "217131334",
            "telephone_number": "301-381-4586"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GREEN VALLEY THERAPY, L.L.C.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "GREEN VALLEY THERAPY, L.L.C.",
        "enumeration_date": "2026-03-16",
        "last_updated": "2026-03-16",
        "certification_date": "2026-03-16",
        "status": "A",
        "authorized_official_last_name": "WENCZKOWSKI",
        "authorized_official_first_name": "DIANNE",
        "authorized_official_title_or_position": "CREDENTIALING SPECIALIST",
        "authorized_official_telephone_number": "301-381-4586"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shannon Marie Fender
• Kenneth Anson Film, DDS
• Michael Fitzgerald
• Kelly Ann Flemming, PTA
• Edward James Galligan
• Kristen Grim, MSOTR/L
• Kendall Paige Harne, CPHT
• Colleen Moss Harnett, RD, LDN
• Dusty Grace Harr, PTA
• Justin Arvin Haugh, D.D.S.

• Clinical Social Worker in Boonsboro, MD
• Providers in Boonsboro, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.