PAX RIVER COUNSELING, LLC (NPI# 1063827756) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063827756 |
| Entity Type | Organization |
| Organization Name | PAX RIVER COUNSELING, LLC |
| Practice Address |
22776 Three Notch Rd Suite 102 Lexington Park MD 20653-3368 |
| Mailing Address |
11005 Old Marlboro Pike Upper Marlboro MD 20772-2727 |
| Practice Telephone | 6103486682 |
| Practice Fax Number | 3017803639 |
| Mailing Telephone | 6103486682 |
| Mailing Fax Number | 3017803639 |
| Enumeration Date | 2014-06-22 |
| Last Update Date | 2014-06-22 |
| Authorized Official Name | HELENA LOUISE WEISL (MEMBER) |
| Authorized Official Telephone | 2407557282 |
| 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 |
15396 | MD | Behavioral Health & Social Service Providers |
| Street Address |
22776 THREE NOTCH RD SUITE 102 |
| City | LEXINGTON PARK |
| State | MD |
| Zip Code | 20653-3368 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154320109 | Helena L Weisl | Psychologist | 22776 Three Notch Rd, Suite 102, Lexington Park, MD 20653-3368 | 2005-07-20 |
| 1720698434 | Elizabeth Guy Walker | Social Worker | 22776 Three Notch Rd, Lexington Park, MD 20653-3368 | 2020-08-06 |
| 1023556412 | Elizabeth L Ramsey | Social Worker | 22776 Three Notch Rd, Suite 102, Lexington Park, MD 20653-3368 | 2017-02-06 |
| 1003295676 | Discovery Harbor Counseling Center LLC | Counselor | 22776 Three Notch Rd, Suite #202, Lexington Park, MD 20653-3368 | 2015-05-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1659910214 | Shannon Dawn Morley | Family Medicine | 45870 E Run Dr, Lexington Park, MD 20653 | 2019-12-31 |
| 1366080533 | Crystal Lynn Bradford | Counselor | 21770 Fdr Blvd., Lexington Park, MD 20653 | 2019-12-18 |
| 1205487584 | Paulette Tyrone Scriber | Technician | 20286 Scriber Ln, Lexington Park, MD 20653 | 2019-09-26 |
| 1073162103 | Bambii Kreal | Counselor | 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 | 2019-09-11 |
| 1376039479 | Arianna Marie Day | Social Worker | 21789 N Coral Drive - Ste 2a, Bowes and Associates Psychotherapy LLC, Lexington Park, MD 20653 | 2018-07-02 |
| 1982032694 | Trico Clinical Services, Ltd | Clinic/Center | 46707 S. Shangri La Drive, Lexington Park, MD 20653 | 2013-10-16 |
| 1891047726 | Axis Healthcare Group | Social Worker | 45870 East Run Drive, Lexington Park, MD 20653 | 2012-10-02 |
| 1013164466 | Denise Owens Mullinix | Dentist | 22749 Maple Road, Lexington Park, MD 20653 | 2008-08-27 |
| 1548440555 | Trico Clinical Services, Ltd | Counselor | 46940 S. Shangri La Drive, Lexington Park, MD 20653 | 2007-11-07 |
| Find all providers in zip 20653 | ||||
| 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 |
|---|---|---|---|---|
| 1942694682 | Susanna O. Mcnamara,lcsw-c, LLC | Social Worker | 21945 Three Notch Rd, Suite 103, Lexington Park, MD 20653-1562 | 2015-03-19 |
| 1891047726 | Axis Healthcare Group | Social Worker | 45870 East Run Drive, Lexington Park, MD 20653 | 2012-10-02 |
| 1457411357 | Vicki Joan Majors | Social Worker | 45727 Red Oak Rd, Lexington Park, MD 20653-3307 | 2006-12-11 |
| 1538156419 | Georgia Elda Kenney | Social Worker | 21770 F Dr Boulevard, Lexington Park, MD 20653 | 2005-10-05 |
| 1740763531 | Bridget Louise Mixon | Social Worker | 22776 Three Notch Rd Ste 102, Lexington Park, MD 20653-3369 | 2018-09-08 |
| 1124539630 | Susan Bearns | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-2062 | 2017-10-24 |
| 1023556412 | Elizabeth L Ramsey | Social Worker | 22776 Three Notch Rd, Suite 102, Lexington Park, MD 20653-3368 | 2017-02-06 |
| 1326494162 | Andrea Mcdonald-fingland | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653 | 2016-05-11 |
| 1972929602 | Kaya Daley | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2014-03-05 |
| 1013332279 | Gabrielle Bollino | Social Worker | 21770 Fdr Blvd, Lexington Park, MD 20653-1558 | 2014-02-25 |
| Find all providers in LEXINGTON PARK | ||||
| City | LEXINGTON PARK |
| Zip Code | 20653 |
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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.