Organization · Type 2 NPI
Radical Life Changes LLC
Clinical Social Worker · Waldorf, MD
Practice location
11777 Nationals Ln
Waldorf, MD 20602-3274
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | None listed |
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 1295681682
Radical Life Changes LLC's National Provider Identifier is 1295681682, issued on Mar 7, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Waldorf, MD. The record was last updated on Mar 7, 2026.