Organization Active NPI

Education and Therapy Center LLC

  • Clinical Social Worker
  • Millersville, MD
National Provider Identifier
1770447013
Registry record updated Dec 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
EDUCATION AND THERAPY CENTER LLC
Practice address
1110 Benfield Blvd. -Ste H
Millersville, MD 21108
Phone
(410) 215-1110
Fax
(410) 987-4710
NPI assigned
Dec 11, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2025

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

Authorized official

Name
Judith M Sipes, LCSW-C
Title
Director
Phone
(410) 215-1110

Specialties & licenses 1

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

Addresses

Primary practice location

1110 Benfield Blvd. -Ste H
Millersville, MD 21108

Mailing address

1110 Benfield Blvd. -Ste H
Millersville, MD 21108
Phone (410) 215-1110

Other identifiers 1

IdentifierTypeStateIssuer
117221200MedicaidMD

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1765411200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1765411200000",
    "number": "1770447013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD. -STE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "410-215-1110",
            "fax_number": "410-987-4710"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1110 BENFIELD BLVD. -STE H",
            "city": "MILLERSVILLE",
            "state": "MD",
            "postal_code": "21108",
            "telephone_number": "410-215-1110",
            "fax_number": "410-987-4710"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDUCATION AND THERAPY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-12-11",
        "last_updated": "2025-12-11",
        "status": "A",
        "authorized_official_last_name": "SIPES",
        "authorized_official_first_name": "JUDITH",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "410-215-1110",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "117221200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Millersville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2025; 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.