Organization Active NPI

Liquid Therapy, LLC

  • Clinical Social Worker
  • Landover, MD
National Provider Identifier
1295377927
Registry record updated Oct 15, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIQUID THERAPY, LLC
Practice address
410 Warfield Dr Apt 4094
Landover, MD 20785-4791
Phone
(757) 319-3250
NPI assigned
Oct 15, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 15, 2019

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

Authorized official

Name
Ms. Alycia Clayton, LCSW, LICSW, LCSW-C
Title
Ceo
Phone
(757) 319-3250

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

410 Warfield Dr Apt 4094
Landover, MD 20785-4791

Mailing address

410 Warfield Dr Apt 4094
Landover, MD 20785-4791
Phone (757) 319-3250

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571097600000",
    "number": "1295377927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "410 WARFIELD DR APT 4094",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854791",
            "telephone_number": "757-319-3250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 WARFIELD DR APT 4094",
            "city": "LANDOVER",
            "state": "MD",
            "postal_code": "207854791",
            "telephone_number": "757-319-3250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIQUID THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A",
        "authorized_official_last_name": "CLAYTON",
        "authorized_official_first_name": "ALYCIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "757-319-3250",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW, LICSW, LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Landover, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.