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HEALING WATERS PSYCHOTHERAPY, LLC
NPI 1083100630
Social Worker - Clinical in Rockville, MD

Active since July 06, 2018
966 HUNGERFORD DR STE 20A, ROCKVILLE, MD 20850(240) 681-5058 Get Directions Write a Review

NPPES record last updated: October 11, 2019. Verified against the NPPES registry weekly; last sync: October 25, 2026.

Record update history: Oct 11, 2019, Oct 2, 2018, Jul 6, 2018 (3 updates tracked since 2018).

About Healing Waters Psychotherapy, Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

HEALING WATERS PSYCHOTHERAPY, LLC (NPI 1083100630) is a healthcare organization registered as a clinical in Rockville, Maryland and active in the NPI registry since July 2018. The organization lists Elizabeth S Henrich, Owner, as its authorized official.

NPPES Registry Identity

NPI1083100630
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameHEALING WATERS PSYCHOTHERAPY, LLC
Location Address966 HUNGERFORD DR STE 20ARockville, MD 20850-1741
Mailing Address966 Hungerford Dr Ste 20aRockville, MD 20850-1741 · (240) 681-5058
Phone(240) 681-5058
Organization SubpartNo
Authorized OfficialElizabeth S HenrichOwner · (240) 681-5058
Enumeration DateJuly 6, 2018
Last NPPES UpdateOctober 11, 20193 updates tracked since enumeration
✔ NPI 1083100630 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License✔ Licensed in MD · 14919
Definition
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.
966 HUNGERFORD DR STE 20A, Rockville, MD 20850
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Other Identifiers 5

Other4870243MD · Aetna
OtherCL110001MD · Carefirst
Medicaid214235000MD
Other600958728MD · Magellan
Other4942002MD · Cigna

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Healing Waters Psychotherapy, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

3

Medicare enrollment records show 3 clinicians reassign Medicare billing to Healing Waters Psychotherapy, LLC, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 3 within 10 miles. They are listed nearest first.

Clinicians, nearest first (3)

Elizabeth Henrich, LCSW-C
Clinical Social Worker
NPI 1922427194
966 HUNGERFORD DR STE 20A
Rockville, MD 20850
(240) 681-5058
✔ PECOS✔ Accepts MedicareSame address
Priscilla Villavicencio, LMSW
Clinical Social Worker
NPI 1306634753
13415 ORIENTAL CT
Rockville, MD 20853
(240) 643-3921
✔ PECOS✔ Accepts Medicare3.4 mi
Sandra Martins, LCSW-C
Clinical Social Worker
NPI 1700330727
9309 OLD GEORGETOWN RD
Bethesda, MD 20814
(301) 634-9600
✔ PECOS✔ Accepts Medicare6.7 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Healing Waters Psychotherapy, LLC's NPI number?

The NPI number for Healing Waters Psychotherapy, LLC is 1083100630. It was assigned to this organization in the NPPES registry on July 6, 2018.

Where is Healing Waters Psychotherapy, LLC located?

Healing Waters Psychotherapy, LLC is located at 966 Hungerford Dr Ste 20A, Rockville, MD 20850. The listed phone number is (240) 681-5058.

What is Healing Waters Psychotherapy, LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

Is Healing Waters Psychotherapy, LLC enrolled in Medicare?

Yes. Healing Waters Psychotherapy, LLC is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Healing Waters Psychotherapy, LLC?

According to the CMS Revalidation Reassignment List (October 2026 release), 3 clinicians, all in Clinical Social Worker, reassign their Medicare billing to Healing Waters Psychotherapy, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 3 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Healing Waters Psychotherapy, LLC was last updated on October 11, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.