A New Leaf Therapy, LLC
Organization Active NPI Clinical Social Worker · Olney, MD
NPI 1831636364 · NPPES record last updated Jan 23, 2017
Key facts
- NPI
- 1831636364
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 13961 (MD)
- Legal business name
- A NEW LEAF THERAPY, LLC
- Practice address
- 2911 Olney Sandy Spring Rd Ste a
Olney, MD 20832-3506 - Phone
- (202) 487-8450
- Fax
- (443) 692-2170
- NPI assigned
- Jan 23, 2017
- Organization subpart
- No
Authorized official
- Name
- Grace Irene Nyblade, LCSW-C
- Title
- Owner
- Phone
- (202) 487-8450
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker |
1041C0700X | 13961 | MD | Yes |
| Clinical Social Worker |
1041C0700X | 18412 | MD |
Addresses
Primary practice location
2911 Olney Sandy Spring Rd Ste a
Olney, MD 20832-3506
Mailing address
6597 Quiet Hours
Apartment 202
Columbia, MD 21045-4943
Phone (202) 487-8450
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All providers in Olney, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 23, 2017. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.