TRUE BLUE BEHAVIORAL HEALTH
NPI 1285177600
Social Worker - Clinical in Waldorf, MD

Q: What is Southern Maryland Counseling & Coaching, LLC's specialty?

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

Active since December 02, 2016

3261 OLD WASHINGTON RD STE 2020, WALDORF, MD 20602(240) 435-4708 Get Directions Write a Review

NPPES record last updated: June 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Jun 9, 2023, Dec 15, 2020 (2 updates tracked since 2020).

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About True Blue Behavioral Health NPPES

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

TRUE BLUE BEHAVIORAL HEALTH (NPI 1285177600) is a healthcare organization registered as a clinical in Waldorf, Maryland and active in the NPI registry since December 2016. The organization lists Davidra T Bazemore-blue, Owner/clinical Director, as its authorized official.

NPPES Registry Identity

NPI1285177600

Entity TypeOrganization

Primary Taxonomy1041C0700X

Legal Business NameSOUTHERN MARYLAND COUNSELING & COACHING, LLC

Location Address3261 OLD WASHINGTON RD STE 2020Waldorf, MD 20602-3231

Mailing Address16705 Rolling Tree RdAccokeek, MD 20607-3358 · (202) 997-6060

Phone(240) 435-4708

Organization SubpartNo

Authorized OfficialDavidra T Bazemore-blueOwner/clinical Director · (202) 997-6060

Enumeration DateDecember 2, 2016

Last NPPES UpdateJune 9, 20232 updates tracked since enumeration

NPPES CertifiedJune 9, 2023

✔ NPI 1285177600 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 · 19114

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.

3261 OLD WASHINGTON RD STE 2020, Waldorf, MD 20602

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Other Names 1

Doing Business AsTrue Blue Behavioral Health

Group Practice 2

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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

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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PRIMAL HEALTH FAMILY PRACTICE

Nurse Practitioner (Family)