PASSAGEWAYS THERAPY AND COUNSELING, LLC (NPI# 1255850129) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255850129 |
| Entity Type | Organization |
| Organization Name | PASSAGEWAYS THERAPY AND COUNSELING, LLC |
| Practice Address |
10 N Jefferson St Ste 403 Frederick MD 21701-4823 |
| Mailing Address |
10 N. Jefferson Street Suite 403 Frederick MD 21782-1702 |
| Practice Telephone | 3015144745 |
| Practice Fax Number | 3016681854 |
| Mailing Telephone | 3015144745 |
| Enumeration Date | 2017-09-12 |
| Last Update Date | 2017-09-13 |
| Authorized Official Name | TAMARA LYNN KOEPP (SOLE MEMBER) |
| Authorized Official Telephone | 3015144745 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
17036 | MD | Behavioral Health & Social Service Providers |
| Street Address |
10 N JEFFERSON ST STE 403 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21701-4823 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588798607 | Jee-young Ahn | Psychologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2007-03-14 |
| 1487296604 | Laura A Michie Ccc Slp | Speech-Language Pathologist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-10-09 |
| 1104389071 | Tara Lynn Ketteringham | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-04-09 |
| 1801358973 | Sheena Walters | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2019-04-05 |
| 1326518234 | Dynamic Occupational Therapy, LLC | Occupational Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2018-12-04 |
| 1730695792 | Inner-evolution Counseling, Coaching and Yoga LLC | Counselor | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2017-12-28 |
| 1053793133 | Lisa Gregory | Massage Therapist | 10 N Jefferson St Ste 403, Frederick, MD 21701-4823 | 2015-06-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225670045 | Alana Earp | Social Worker | 810 Toll House Avenue, Frederick, MD 21701 | 2019-10-14 |
| 1851866065 | Main Place Treatment Centers LLC. | Clinic/Center | 127 S. Smallwood Street, Frederick, MD 21701 | 2018-10-04 |
| 1649775933 | Old Fashion Medicine, Inc | Internal Medicine | 95 Gatepost Lane, Apartment 1b, Frederick, MD 21701 | 2018-03-28 |
| 1063917938 | Kristin Deely | Nurse Practitioner | 400 West 7th Street, Cardiac Cath Lab 2nd Floor, Frederick, MD 21701 | 2018-03-24 |
| 1689180119 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 300 B Scholls Lane, Frederick, MD 21701 | 2017-12-20 |
| 1326590068 | Natalie Reid | Nurse Practitioner | 9093 Ridgefield Dr Ste 104, Frederick, MD 21701 | 2016-10-28 |
| 1649727967 | Scl Corpration | In Home Supportive Care | 550 Highland Street, Suite 110, Frederick, MD 21701 | 2016-09-02 |
| 1891159661 | Wellave, LLC | Clinic/Center | 411 Aviation Way Ste 245, Frederick, MD 21701 | 2016-04-07 |
| 1144694969 | Leslee Bry | Counselor | 120 W Church St Ste 3b, Frederick, MD 21701 | 2015-11-17 |
| 1851797732 | Frederick Dental | Dentist | 401 W 7th Street, Frederick Dental, Frederick, MD 21701 | 2014-11-05 |
| Find all providers in zip 21701 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932723038 | Jennifer Michelle Clark | Social Worker | 22 Norva Ave, Frederick, MD 21701-6279 | 2020-06-04 |
| 1508413121 | Kristen Williams | Social Worker | 6530 Mercantile Dr W, Frederick, MD 21703-1836 | 2019-08-19 |
| 1982265195 | Diana Stewart | Social Worker | 1003 W 7th St Ste And301, Frederick, MD 21701-4106 | 2019-06-27 |
| 1386204212 | Anna Aileen See-jachowski | Social Worker | 10 N Jefferson St Ste 406, Frederick, MD 21701-4823 | 2019-06-13 |
| 1548726078 | Venus Tomlinson | Social Worker | 2007 Truett Way, Frederick, MD 21702-2122 | 2019-02-20 |
| 1831655364 | Andrea Bieljeski | Social Worker | 10 N Jefferson St Ste 202, Frederick, MD 21701-4865 | 2019-02-20 |
| 1306310305 | Catherine Durrett Griffiths | Social Worker | 2552 Bear Den Rd, Frederick, MD 21701-5230 | 2019-01-14 |
| 1740750983 | Hamblin Phillips | Social Worker | 1445 Taney Ave, Frederick, MD 21702-4311 | 2018-11-30 |
| 1730688961 | Kate Macshane | Social Worker | 1 W Church St, Frederick, MD 21701-5991 | 2018-02-02 |
| 1518465426 | Lisa Mccrohan | Social Worker | 723 N Market St, Frederick, MD 21701-5246 | 2018-01-25 |
| Find all providers in FREDERICK | ||||
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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.