GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES LLC (NPI# 1851695662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1851695662 |
| Entity Type | Organization |
| Organization Name | GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES LLC |
| Practice Address |
604 S Frederick Ave 211 Gaithersburg MD 20877-1275 |
| Practice Telephone | 2407310457 |
| Mailing Telephone | 2407310457 |
| Enumeration Date | 2011-01-08 |
| Last Update Date | 2011-01-08 |
| Authorized Official Name | LILIAN BOLLERS (OWNER) |
| Authorized Official Telephone | 2407310457 |
| 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 |
15529 | MD | Behavioral Health & Social Service Providers |
| Street Address |
604 S FREDERICK AVE 211 |
| City | GAITHERSBURG |
| State | MD |
| Zip Code | 20877-1275 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1700877305 | Aiping Sui | Family Medicine | 604 S Frederick Ave, Suite 200, Gaithersburg, MD 20877-1242 | 2005-11-02 |
| 1033565528 | Fatemi Family Dentistry LLC | Dentist | 604 S Frederick Ave, #209, Gaithersburg, MD 20877-1275 | 2016-05-13 |
| 1154693588 | Life Quality Psychiatric Multi Disciplinary Group, LLC | Psychologist | 604 S Frederick Ave, Suite 211, Gaithersburg, MD 20877-1275 | 2012-02-01 |
| 1811275423 | Aldrin Osvaldo Ceballos | Social Worker | 604 S Frederick Ave, Ste 215, Gaithersburg, MD 20877-1282 | 2011-07-31 |
| 1841595469 | Resiliency Counseling, LLC | Social Worker | 604 S Frederick Ave, Suite 215, Gaithersburg, MD 20877-1275 | 2011-01-12 |
| 1467771683 | Attan Kasid Md PC | Internal Medicine | 604 S Frederick Ave, Suite 604, Gaithersburg, MD 20877-1275 | 2010-05-27 |
| 1588980619 | Eastern Healing Center | Acupuncturist | 604 S Frederick Ave, Suite 407, Gaithersburg, MD 20877-1275 | 2010-04-14 |
| 1124358163 | Anibal Cravchik | Psychiatry & Neurology | 604 S Frederick Ave, Suite 211, Gaithersburg, MD 20877-1275 | 2010-01-13 |
| 1932434081 | Sharon Linda Segerman | Social Worker | 604 S Frederick Ave, Gaithersburg, MD 20877-1275 | 2009-10-07 |
| 1558530584 | Aiping Sui, Md & Wei Xu, Md PC | Clinic/Center | 604 S Frederick Ave, Suite 200, Gaithersburg, MD 20877-1275 | 2008-02-25 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083182083 | Elizabeth Schuman | Physical Therapist | 8100 Midcounty Highway, Gaithersburg, MD 20877 | 2018-11-07 |
| 1528544970 | Stephanie Lucas | Behavior Technician | 17755 Larchmont Ter, Gaithersburg, MD 20877 | 2018-07-18 |
| 1508351370 | National Vision, Inc. | Technician/Technologist | 18304 Contour Road, Montgomery Village, MD 20877 | 2018-06-25 |
| 1912496993 | Elias Kamal Abdi | Dentist | 200 Girard Street, #106, Gaithersburg, MD 20877 | 2018-05-06 |
| 1942741947 | Emily Katherine Griffin | Counselor | 501 N Frederick Ave Ste 300, Gaithersburg, MD 20877 | 2017-03-10 |
| 1285004317 | Institute for Family Centered Services | Community/Behavioral Health | 1600 S Frederick Ave, Suite 312, Gaithersburg, MD 20877 | 2015-10-01 |
| 1083097893 | Sylwia Patrycja Fowler | Psychiatry & Neurology | 604 S Frederick Ave Ste 211, Gaithersburg, MD 20877 | 2015-06-30 |
| 1962896126 | Estefania Ospina | Social Worker | 16220 Frederick Rd., Suite 310, Gaithersburg, MD 20877 | 2015-03-26 |
| 1619306206 | Patricia Elizabeth Deleon | Registered Nurse | 702 Russell Ave., #100, Gaithersburg, MD 20877 | 2013-11-05 |
| 1669805719 | International Pediatrics Pa | Pediatrics | 501 North Fredrick Ave Ste 212, Gaithersburg, MD 20877 | 2013-08-13 |
| Find all providers in zip 20877 | ||||
| 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 |
|---|---|---|---|---|
| 1831700871 | Michelle Anderson | Social Worker | 813 Pointer Ridge Dr, Gaithersburg, MD 20878-1130 | 2020-08-13 |
| 1891350906 | Lauren Biggs | Social Worker | 24063 Newbury Rd, Gaithersburg, MD 20882-4007 | 2019-05-03 |
| 1487130787 | Marie Brizard Delices | Social Worker | 7905 Brethren Dr, Gaithersburg, MD 20879-5640 | 2018-07-19 |
| 1144713678 | Amelia Holgash | Social Worker | 845 Quince Orchard Blvd Ste F, Gaithersburg, MD 20878-1676 | 2018-06-09 |
| 1780172338 | Ashley Camille Allen | Social Worker | 101 Lakeforest Blvd Ste 302, Gaithersburg, MD 20877-2629 | 2018-04-30 |
| 1649774456 | Michael Joseph Saco Barga | Social Worker | 18715 N Frederick Ave, Gaithersburg, MD 20879-3121 | 2018-03-19 |
| 1629585245 | Lakisha Moniq Shears | Social Worker | 501 N Frederick Ave. Suite 300, Gaithersburg, MD 20877-1828 | 2018-01-04 |
| 1740793884 | Alexandra Marie Sheraw | Social Worker | 124 Ellington Blvd Apt 275, Gaithersburg, MD 20878-4566 | 2017-11-12 |
| 1225580202 | Andrew Paul Darby | Social Worker | 15932 Shady Grove Rd Unit B, Gaithersburg, MD 20877-1314 | 2016-10-26 |
| 1598215162 | Holly Akli Lcsw-c LLC | Social Worker | 9711 Washingtonian Blvd, Gaithersburg, MD 20878 | 2016-10-07 |
| Find all providers in GAITHERSBURG | ||||
| City | GAITHERSBURG |
| Zip Code | 20877 |
Please comment or provide details below to improve the information on GOLGOTHA TOUCH BEHAVIORAL HEALTH SERVICES 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.