CLEAN AND SOBER (NPI# 1063561249) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063561249 |
| Entity Type | Organization |
| Organization Name | CLEAN AND SOBER |
| Other Organization Name | ALCOHOL AND DRUG RECOVERY |
| Practice Address |
929 West St Suite 207 Annapolis MD 21401-3626 |
| Practice Telephone | 4102686800 |
| Practice Fax Number | 4102688637 |
| Mailing Telephone | 4102686800 |
| Mailing Fax Number | 4102688637 |
| Enumeration Date | 2007-01-09 |
| Last Update Date | 2013-09-06 |
| Authorized Official Name | MR. FRITZ LINDROTH SCHMIDT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4102686800 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
15660 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Alcohol and Drug Recovery | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801945001 | Clean and Sober | Counselor | 8 Crain Hwy N, Unit C, Glen Burnie, MD 21061-3559 | 2007-01-09 |
| 1437208535 | Clean and Sober | Counselor | 3475 Leonardtown Rd, Suite 102, Waldorf, MD 20601-3678 | 2007-01-09 |
| 1629127816 | Clean and Sober | Counselor | 7610 Pennsylvania Ave, Suite 104, Forestville, MD 20747-4701 | 2007-01-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Vermont Business Registrations | CLEAN AND SOBER CORP. | 5700 Vt Route 100, ? Neighborhood Connections, Londonderry, VT 05148 |
| Colorado Business Entities | clean and sober Outdoors LLC | 903 E. Oak St, Lamar, CO 81052 |
| Washington State Corporations | CLEAN AND SOBER SOFTBALL ASSOCIATION (CSSA) | 22621 Ne Alder Crest Dr #102, Redmond, WA 98053 |
| Street Address |
929 WEST ST SUITE 207 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3626 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770922536 | Laura Trotman Wilkins | Audiologist | 929 West St, Annapolis, MD 21401-3626 | 2013-06-14 |
| 1194990325 | 3d Hearing, Inc. | Hearing Aid Equipment | 929 West St, Suite 105, Annapolis, MD 21401-3626 | 2008-04-29 |
| 1134129315 | Lynn Landon | Nurse Practitioner | 929 West St, Ste 305, Annapolis, MD 21401-3626 | 2005-07-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164073417 | Jenna Darby Hirschmann | Counselor | 185 Admiral Cochrane Dr Ste 120, Annapolis, MD 21401-7600 | 2019-09-26 |
| 1225684582 | Hunter Hastings | Counselor | 2568 Riva Rd, Annapolis, MD 21401-7405 | 2019-08-13 |
| 1578079992 | Catherine M Quimby | Counselor | 34 Defense St Ste 100, Annapolis, MD 21401-3578 | 2017-12-21 |
| 1306399035 | Lacy Ann Hare | Counselor | 251 Rowe Blvd, Room 224, Annapolis, MD 21401-1539 | 2016-07-29 |
| 1982006193 | Therapeutic Value LLC | Counselor | 90 Edgewood Ave, Annapolis, MD 21401-4010 | 2014-09-18 |
| 1154765386 | John B Norris | Counselor | 2025 Harbour Gates Dr, Annapolis, MD 21401-2183 | 2013-04-18 |
| 1588956379 | Cynthia Beth Hurd | Counselor | 2610 Greenbriar Ln, Annapolis, MD 21401-4424 | 2011-05-11 |
| 1851509368 | George Scott Jakovics | Counselor | 1831 Forest Dr Ste D, Annapolis, MD 21401-4430 | 2007-05-18 |
| 1255426573 | J'aime Nowell | Counselor | 1160 Spa Rd, Suite 1b, Annapolis, MD 21403-1022 | 2006-10-03 |
| 1043842305 | Katherine E Glacken | Counselor | 185 Admiral Cochrane Dr Ste 120, Annapolis, MD 21401-7600 | 2020-02-05 |
| Find all providers in ANNAPOLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.