Second Chance Counseling Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12637 Issued in MD

Legal business name

SECOND CHANCE COUNSELING SERVICES, LLC

Practice address

19727 Executive Park Cir
Germantown, MD 20874-2642

Phone

(301) 972-1373

Fax

(301) 972-1584

NPI assigned

Apr 6, 2015

Organization subpart

No

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

Authorized official

Name

Dr. Terese Nicole Hayes

Title

LCSW-C

Phone

(301) 972-1373

Specialties & licenses 6

Addresses

Tax ID family

Second Chance Counseling Services LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

• Second Chance Counseling Services, LLC

  • Addiction (Substance Use Disorder) Counselor
  • Germantown, MD
  • NPI 1053750521
  NPD tax ID
• Second Chance Counseling Services, LLC

  • Clinical Social Worker
  • Germantown, MD
  • NPI 1932594983
  NPD tax ID

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

{
    "created_epoch": "1428278400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1769472000000",
    "number": "1164817268",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 882",
            "city": "CLARKSBURG",
            "state": "MD",
            "postal_code": "208710882",
            "telephone_number": "301-972-1373",
            "fax_number": "301-972-1584"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "19727 EXECUTIVE PARK CIR",
            "city": "GERMANTOWN",
            "state": "MD",
            "postal_code": "208742642",
            "telephone_number": "301-972-1373",
            "fax_number": "301-972-1584"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SECOND CHANCE COUNSELING SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-06",
        "last_updated": "2026-01-27",
        "certification_date": "2026-01-27",
        "status": "A",
        "authorized_official_last_name": "HAYES",
        "authorized_official_first_name": "TERESE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "LCSW-C",
        "authorized_official_telephone_number": "301-972-1373",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4709",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4819",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5475",
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC4015",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12637",
            "primary": true
        },
        {
            "code": "133V00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dietitian, Registered",
            "state": "MD",
            "license": "DX3109",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Emily Schuchardt, PA-C
• Rebecca Schuman
• Kerlee Elizabeth Scott Orellana
• Sean a. Hayes
• Second Chance Counseling Services, LLC
• Second Chance Counseling Services, LLC
• Second Chance Counseling Services,LLC
• Utkala Segu
• Nathan Seibel
• Safisha Seifullah

• Clinical Social Worker in Germantown, MD
• Providers in Germantown, 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 Jan 27, 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.