Clean and Sober

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

License

15661 Issued in MD

Legal business name

CLEAN AND SOBER

Doing business as

Alcohol and Drug Recovery

Practice address

8 Crain Hwy N
Unit C
Glen Burnie, MD 21061-3559

Phone

(410) 768-5242

Fax

(410) 787-8637

NPI assigned

Jan 9, 2007

Organization subpart

No

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

Addresses

Other names 1

• Alcohol and Drug Recovery Doing business as

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.

• Clean and Sober

  dba Alcohol and Drug Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Annapolis, MD
  • NPI 1063561249
  NPD tax ID
• Clean and Sober

  dba Alcohol and Drug Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Waldorf, MD
  • NPI 1437208535
  NPD tax ID
• Clean and Sober

  dba Alcohol and Drug Recovery

  • Addiction (Substance Use Disorder) Counselor
  • Forestville, MD
  • NPI 1629127816
  NPD tax ID

Locations

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": "1801945001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8 CRAIN HWY N",
            "address_2": "UNIT C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613559",
            "telephone_number": "410-768-5242",
            "fax_number": "410-787-8637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 CRAIN HWY N",
            "address_2": "UNIT C",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613559",
            "telephone_number": "410-768-5242",
            "fax_number": "410-787-8637"
        }
    ],
    "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": "15661",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Alcohol and Drug Recovery",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Emilee Rae Clark, LGPC
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• Lauren Nicole Clookie, LCSW-C
• Kristen Chandler Clouser, PA-C
• Kayleen Weinman Clute, CRNP-PEDS

• Addiction (Substance Use Disorder) Counselor in Glen Burnie, MD
• Providers in Glen Burnie, 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 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.