PETALS BEHAVIORAL LLC (NPI# 1669072633) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669072633 |
| Entity Type | Organization |
| Organization Name | PETALS BEHAVIORAL LLC |
| Practice Address |
12623 Epping Rd Silver Spring MD 20906-3865 |
| Practice Telephone | 6177770764 |
| Enumeration Date | 2020-10-29 |
| Last Update Date | 2020-10-29 |
| Authorized Official Name | CHEKWUBE NWABUEZE (MANAGING PARTNER) |
| Authorized Official Telephone | 4125966493 |
| Authorized Official Credential | LCSWC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| Street Address |
12623 EPPING RD |
| City | SILVER SPRING |
| State | MD |
| Zip Code | 20906-3865 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255894739 | Haika Yonah Mndambi | Home Health Aide | 2414 Sun Valley Circle, Silver Spring, MD 20906 | 2019-04-10 |
| 1194205153 | Khadijah Keita | Pharmacy Technician | 1512 Woodwell Rd, Silver Spring, MD 20906 | 2018-08-20 |
| 1093233314 | Elizabeth Darroch | Physical Therapist | 3305 North Leisure World Blvd, Silver Spring, MD 20906 | 2017-09-07 |
| 1043699937 | Danielle Leslie Porter | Registered Nurse | 2601 Camelback Ln Apt 3, Silver Spring, MD 20906 | 2015-05-25 |
| 1821418591 | Bertha Nyagaya Nyagaya-wojnarski | Nurse Practitioner | 14511 Layhill Road, Silver Spring, MD 20906 | 2014-04-22 |
| 1467875989 | Gifter Assa | Home Health Aide | 14225 Grand Pre Rd Apt 202, Silver Spring, MD 20906 | 2014-02-04 |
| 1649601923 | Global H Care | Home Health | 3319 Weeping Willow Dr Apt 12, Silver Spring, MD 20906 | 2013-12-11 |
| 1750715074 | Jessica I Uagbor Roblin | Physical Therapist | 3305 N Leisure World Blvd Ste 200, Silver Spring, MD 20906 | 2013-08-22 |
| 1922431428 | Dental Center of Aspen Hill, LLC | Dentist | 13957 Connecticut Avenue, Suite 302, Silver Spring, MD 20906 | 2013-08-20 |
| 1831535772 | Solomon Wachira | Home Health Aide | 2527 Glenalla Ave, Apt 102, Silver Spring, MD 20906 | 2013-05-20 |
| Find all providers in zip 20906 | ||||
| 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 |
|---|---|---|---|---|
| 1265032908 | Ayana S Manzanares | Social Worker | 2507 Holman Ave, Silver Spring, MD 20910-1143 | 2020-10-30 |
| 1063025922 | Emily Rachel Star | Social Worker | 415 Silver Spring Ave Apt 210a, Silver Spring, MD 20910-4610 | 2020-08-28 |
| 1043823180 | Comforting Minds Counseling & Consulting | Social Worker | 3539 Sheffield Manor Ter Apt 203, Silver Spring, MD 20904-7403 | 2020-08-28 |
| 1336750777 | Adriana Carranza | Social Worker | 801 Dennis Ave, Silver Spring, MD 20901-2019 | 2020-08-10 |
| 1528686359 | Jennifer E Olkewicz | Social Worker | 2000 Dennis Ave Ste 22, Silver Spring, MD 20902-4136 | 2020-07-08 |
| 1194342899 | Janie Brown | Social Worker | 15101 Glade Dr Apt 2e, Silver Spring, MD 20906-1526 | 2020-06-29 |
| 1831720572 | Weberlyn Dossen | Social Worker | 8777 1st Ave, Silver Spring, MD 20910-3511 | 2020-01-31 |
| 1487290292 | With Valor Therapy, LLC | Social Worker | 2227 Bel Pre Rd # 321, Silver Spring, MD 20906-2204 | 2019-11-27 |
| 1487297438 | Leslie Marie Kent | Social Worker | 8811 Colesville Rd Ste 105, Silver Spring, MD 20910-4327 | 2019-10-22 |
| 1568012649 | Maria Frances Smith | Social Worker | 12701 Goodhill Rd, Silver Spring, MD 20906-4001 | 2019-09-19 |
| Find all providers in SILVER SPRING | ||||
| City | SILVER SPRING |
| Zip Code | 20906 |
Please comment or provide details below to improve the information on PETALS BEHAVIORAL LLC.
| 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.