LIFE CHANGE THERAPY NOW LLC (NPI# 1780121392) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780121392 |
| Entity Type | Organization |
| Organization Name | LIFE CHANGE THERAPY NOW LLC |
| Practice Address |
188 Thomas Johnson Dr Suite 201 Frederick MD 21702-4505 |
| Practice Telephone | 3018467872 |
| Practice Fax Number | 3018467973 |
| Mailing Telephone | 3018467872 |
| Mailing Fax Number | 3018467973 |
| Enumeration Date | 2017-01-21 |
| Last Update Date | 2017-01-21 |
| Authorized Official Name | MRS. LORENA RIPOLL (OWNER) |
| Authorized Official Telephone | 3018467872 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
19553 | MD | Behavioral Health & Social Service Providers |
| Street Address |
188 THOMAS JOHNSON DR SUITE 201 |
| City | FREDERICK |
| State | MD |
| Zip Code | 21702-4505 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699758185 | Ernesto C Torres | Pediatrics | 188 Thomas Johnson Dr, Suite 202, Frederick, MD 21702-4505 | 2005-11-29 |
| 1023466851 | Aaa Pain Management | Pain Medicine | 188 Thomas Johnson Dr, 102, Frederick, MD 21702-4505 | 2016-06-02 |
| 1144646050 | Lorena Ripoll | Social Worker | 188 Thomas Johnson Dr, Suite 201, Unit 2c, Frederick, MD 21702-4505 | 2014-03-16 |
| 1881715472 | Prafull Dave Md Pa | Psychiatry & Neurology | 188 Thomas Johnson Dr, Suite 200, Frederick, MD 21702-4505 | 2007-04-02 |
| 1265488092 | Orthotic Solutions, LLC | Specialist | 188 Thomas Johnson Dr, Suite 100, Frederick, MD 21702-4505 | 2006-05-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073129714 | Rita Akowuah | Nurse Practitioner | 1302 Baker Place East Apt 14, Frederick, MD 21702 | 2020-09-18 |
| 1912416272 | Morgan Nicely | Behavior Technician | 65 Thomas Johnson Drive Suite A, Frederick, MD 21702 | 2017-09-29 |
| 1154840494 | Centers for Advanced Orthopaedics, LLC | Orthopaedic Surgery | 184 Thomas Johnson Dr Ste 104, Frederick, MD 21702 | 2017-09-19 |
| 1831617471 | Hazel Elizabeth Gill | Physical Therapy Assistant | 2007 Butterfield Overlook, Frederick, MD 21702 | 2017-09-05 |
| 1831610161 | William Haynes | Nurse Practitioner | 103 Water Land Ct., Frederick, MD 21702 | 2017-06-27 |
| 1497299333 | Timothy Stimach | Pharmacist | 1430b W Patrick St, Frederick, MD 21702 | 2016-12-12 |
| 1184167405 | Maryland Nutrition and Diet Services, L.L.C. | Dietitian, Registered | 1301 W. 7th Street, No. 1607, Frederick, MD 21702 | 2016-11-18 |
| 1649649468 | Oluwakemi Olubunmi Osidele | Nurse Practitioner | 188 Thomas Johnson Dr Ste 102, Frederick, MD 21702 | 2015-09-22 |
| 1841678562 | Ventzislava Hristova | Spec/Tech, Pathology | 1050 Boyles St. Building 560 Room 12-39, National Cancer Institute - Frederick, Frederick, MD 21702 | 2015-05-14 |
| 1023404571 | Mychal Lynn Pilia | Advanced Practice Midwife | 7420 Hayward Road, Suite 104, Frederick, MD 21702 | 2015-04-11 |
| Find all providers in zip 21702 | ||||
| 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.