INTEGRATED LIFE THERAPEUTIC SOLUTIONS
NPI 1396423240
Social Worker - Clinical in Baltimore, MD

Active since July 10, 2023
4024 COLBORNE RD, BALTIMORE, MD 21229(443) 422-5095 Get Directions Write a Review

NPPES record last updated: July 10, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Integrated Life Therapeutic Solutions NPPES

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

INTEGRATED LIFE THERAPEUTIC SOLUTIONS (NPI 1396423240) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since July 2023. The organization lists Khadejah Mcdougald, Owner, as its authorized official.

NPPES Registry Identity

NPI1396423240
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameINTEGRATED LIFE THERAPEUTIC SOLUTIONS
Location Address4024 COLBORNE RDBaltimore, MD 21229-1903
Mailing Address4024 Colborne RdBaltimore, MD 21229-1903 · (443) 422-5095
Organization SubpartNo
Authorized OfficialKhadejah McdougaldOwner · (443) 422-5095
Enumeration DateJuly 10, 2023
NPPES CertifiedJuly 10, 2023
NPI 1396423240 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
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.
4024 COLBORNE RD, Baltimore, MD 21229

Other Providers at the Same Location NPPES

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

Social Worker
4024 COLBORNE RD
BALTIMORE, MD 21229

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 Integrated Life Therapeutic Solutions's NPI number?

The NPI number for Integrated Life Therapeutic Solutions is 1396423240. It was assigned to this organization in the NPPES registry on July 10, 2023.

Where is Integrated Life Therapeutic Solutions located?

Integrated Life Therapeutic Solutions is located at 4024 Colborne Rd, Baltimore, MD 21229. The listed phone number is (443) 422-5095.

What is Integrated Life Therapeutic Solutions's specialty?

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

When was this NPI record last updated?

The NPPES record for Integrated Life Therapeutic Solutions was last updated on July 10, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.