Individual provider · Type 1 NPI

Antonio Hedgepeth

Clinical Social Worker · Laurel, MD

NPI number 1003795113 Active

Practice location

14440 Cherry Lane Ct Ste 208
Laurel, MD 20707-4946

Call (301) 604-1458 Map

Fax (301) 604-1459

Mailing address

10202 Twisted Stalk Ct
Upper Marlboro, MD 20772-4526

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X36676 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1003795113

Antonio Hedgepeth's National Provider Identifier is 1003795113, issued on Sep 2, 2025. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Laurel, MD. The record was last updated on Sep 2, 2025.