Active NPI
Life Change Therapy Now LLC
- Clinical Social Worker
- Frederick, MD
National Provider Identifier
1780121392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 19553
- Legal business name
- LIFE CHANGE THERAPY NOW LLC
- Practice address
- 21 Byte CT Ste G
Frederick, MD 21702-8724 - Phone
- (301) 846-7872
- Fax
- (301) 846-7973
- NPI assigned
- Jan 21, 2017
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Lorena Ripoll
- Title
- Owner
- Phone
- (301) 846-7872
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19553 | MD | Primary |
Addresses
Primary practice location
21 Byte CT Ste G
Frederick, MD 21702-8724
Mailing address
21 Byte CT Ste G
Frederick, MD 21702-8724
Phone (301) 846-7872
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20220930000074 | MD | Part B Supplier - Clinic/Group Practice | 4284010117 |
Receives reassigned benefits from 11 practitioners Practice locations: Frederick, MD |
National Provider Directory
National Provider DirectoryLocations
21 Byte Ct
Ste G
Frederick, MD 21702
Phone (301) 846-7872
188 Thomas Johnson Dr
Ste 201
Frederick, MD 21702
Phone (301) 639-6062
Practitioners & affiliated clinicians
Practitioners 19
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Frederick, MD
- NPI 1023893021
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484956800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1665619200000",
"number": "1780121392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "21 BYTE CT STE G",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217028724",
"telephone_number": "301-846-7872",
"fax_number": "301-846-7973"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "21 BYTE CT STE G",
"city": "FREDERICK",
"state": "MD",
"postal_code": "217028724",
"telephone_number": "301-846-7872",
"fax_number": "301-846-7973"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIFE CHANGE THERAPY NOW LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-01-21",
"last_updated": "2022-10-13",
"certification_date": "2022-10-13",
"status": "A",
"authorized_official_last_name": "RIPOLL",
"authorized_official_first_name": "LORENA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "301-846-7872",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "19553",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Frederick, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.