Natesha Schwaderer, LCADC

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

LCA2295 Issued in MD

Practice address

107 Circle Drive
Crownsville, MD 21032-2061

Phone

(443) 598-6900

Fax

(410) 923-6781

NPI assigned

Aug 12, 2016

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• SRR Treatment Solutions, LLC

  • Methadone Clinic
  • Columbia, MD
  • NPI 1447567755
  NPD (past)

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

{
    "created_epoch": "1470960000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1664323200000",
    "number": "1689128159",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 CIRCLE DRIVE",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322061",
            "telephone_number": "443-598-6900",
            "fax_number": "410-923-6781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 CIRCLE DRIVE",
            "city": "CROWNSVILLE",
            "state": "MD",
            "postal_code": "210322061",
            "telephone_number": "443-598-6900",
            "fax_number": "410-923-6781"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "8930 Stanford Blvd",
            "address_2": "STE M100",
            "address_purpose": "LOCATION",
            "city": "Columbia",
            "state": "MD",
            "postal_code": "210455805",
            "country_code": "US",
            "telephone_number": "443-285-0807",
            "fax_number": "443-285-0527",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCHWADERER",
        "first_name": "NATESHA",
        "name_prefix": "Mrs.",
        "credential": "LCADC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-08-12",
        "last_updated": "2022-09-28",
        "certification_date": "2022-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": "MD",
            "license": "LCA2295",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1851838643",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Michelle Sands, LCPC
• Sandstone Care Maryland, LLC
• Shannon Scearce
• Laurie Anne Booth Schmitt, LCSW-C
• Lois Jane Schramek, CRNP
• Second Genesis, Inc
• Second Genesis, Inc
• Second Genesis, Inc.
• David Semanco, MAC,CADC,CSAC,CAC-AD
• Serenity Acres Treatment Center LLC

• Addiction (Substance Use Disorder) Counselor in Crownsville, MD
• Providers in Crownsville, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2022; 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.