Joyce Gradle, MSW
Individual provider Active NPI Mental Health Counselor · Solomons, MD
NPI 1285879759 · NPPES record last updated Dec 11, 2008
Key facts
- NPI
- 1285879759
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Mental Health Counselor 101YM0800X
- License
- 04651 (MD)
- Practice address
- 14350 Solomons Island Rd.
Solomons, MD 20688 - Phone
- (410) 474-4569
- NPI assigned
- Dec 11, 2008
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04651 | MD | MD | Mental Health Counselor |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 04651 | MD | Yes |
Addresses
Primary practice location
14350 Solomons Island Rd.
Solomons, MD 20688
Mailing address
13145 Windjammer Ave
Solomons, MD 20688-3025
Phone (410) 474-4569
Other providers in Solomons, MD
- Jennifer Leigh Garner
- Gerald Gaughan
- Sharon Denise Gaylord
- Laura Anne Glass
- Grace Care LLC
- Jessica L. Gray
- Brianna Guaetta
- Patricia Gurny
- Hermitage Assisted Living LLC
- Audra A Howard
All providers in Solomons, MD · Mental Health Counselor in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 11, 2008. 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.