SBL Therapy, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

07525 Issued in MD

Legal business name

SBL THERAPY, LLC

Practice address

2907 Olney Sndy SPG Rd Ste a
Olney, MD 20832-3510

Phone

(301) 801-8410

NPI assigned

May 29, 2015

Organization subpart

No

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

Authorized official

Name

Susan Lavigna, LCSW-C

Title

Owner

Phone

(301) 801-8410

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1432857600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432857600000",
    "number": "1306225891",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3759 CARRISA LN",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208321756",
            "telephone_number": "301-801-8410"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2907 OLNEY SNDY SPG RD STE A",
            "city": "OLNEY",
            "state": "MD",
            "postal_code": "208323510",
            "telephone_number": "301-801-8410"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SBL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-05-29",
        "last_updated": "2015-05-29",
        "status": "A",
        "authorized_official_last_name": "LAVIGNA",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "301-801-8410",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "07525",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christian Bernard E San Jose, PT
• Cressida Rivadelo San Jose
• Roger Kenneth Sandberg, LCPC
• Compton Saul
• Jennifer Sax, CCC-SLP
• Melissa Scalchunes, DNP, CRNP
• Mark Edward Schade, PT
• Judith B Schiffer
• Ronald Schneider, RPH
• Nicholas Jacob Schor, MD

• Clinical Social Worker in Olney, MD
• Providers in Olney, 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 May 29, 2015; 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.