NPIMap

Organization Active NPI

Clean and Sober

  • Addiction (Substance Use Disorder) Counselor
  • Waldorf, MD
National Provider Identifier
1437208535
Registry record updated Sep 6, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X
License
15663 Issued in MD
Legal business name
CLEAN AND SOBER
Doing business as
Alcohol and Drug Recovery
Practice address
3475 Leonardtown Rd
Suite 102
Waldorf, MD 20601-3678
Phone
(301) 932-9720
Fax
(301) 932-9343
NPI assigned
Jan 9, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2013

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

Authorized official

Name
Mr. Fritz Lindroth Schmidt, M.A.
Title
Executive Director
Phone
(410) 268-6800

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X SINGLE SPECIALTY GROUP 101YA0400X 15663 MD Primary

Addresses

Primary practice location

3475 Leonardtown Rd
Suite 102
Waldorf, MD 20601-3678

Mailing address

3475 Leonardtown Rd
Suite 102
Waldorf, MD 20601-3678
Phone (301) 932-9720

Other names 1

  • Alcohol and Drug Recovery Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Alcohol and Drug Recovery4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

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

Locations

3475 Leonardtown Rd
Ste 102
Waldorf, MD 20601
Phone (301) 374-8477

NPI Registry JSON

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

{
    "created_epoch": "1168300800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1378425600000",
    "number": "1437208535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD",
            "address_2": "SUITE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "301-932-9720",
            "fax_number": "301-932-9343"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3475 LEONARDTOWN RD",
            "address_2": "SUITE 102",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206013678",
            "telephone_number": "301-932-9720",
            "fax_number": "301-932-9343"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLEAN AND SOBER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-09",
        "last_updated": "2013-09-06",
        "status": "A",
        "authorized_official_last_name": "SCHMIDT",
        "authorized_official_first_name": "FRITZ",
        "authorized_official_middle_name": "LINDROTH",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-268-6800",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "M.A."
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "15663",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol and Drug Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; 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.