MEDUSA COOPERATIVE, LLC
NPI 1457221806
Social Worker - Clinical in Frederick, MD

Active since November 10, 2025
308 W PATRICK ST STE 2, FREDERICK, MD 21701(252) 263-8415 Get Directions Write a Review

NPPES record last updated: November 10, 2025. Verified against the NPPES registry weekly; last sync: August 30, 2026.

About Medusa Cooperative, Llc NPPES

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

MEDUSA COOPERATIVE, LLC (NPI 1457221806) is a healthcare organization registered as a clinical in Frederick, Maryland and active in the NPI registry since November 2025. The organization lists Starling Butler Hathcock, Part Owner, as its authorized official.

NPPES Registry Identity

NPI1457221806
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameMEDUSA COOPERATIVE, LLC
Location Address308 W PATRICK ST STE 2Frederick, MD 21701-4889
Mailing Address500 W C StBrunswick, MD 21716-1015 · (252) 263-8415
Organization SubpartNo
Authorized OfficialStarling Butler HathcockPart Owner · (252) 263-8415
Enumeration DateNovember 10, 2025
NPPES CertifiedNovember 10, 2025
NPI 1457221806 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

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.
308 W PATRICK ST STE 2, Frederick, MD 21701

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

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 Medusa Cooperative, LLC's NPI number?

The NPI number for Medusa Cooperative, LLC is 1457221806. It was assigned to this organization in the NPPES registry on November 10, 2025.

Where is Medusa Cooperative, LLC located?

Medusa Cooperative, LLC is located at 308 W Patrick St Ste 2, Frederick, MD 21701. The listed phone number is (252) 263-8415.

What is Medusa Cooperative, LLC'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 Medusa Cooperative, LLC was last updated on November 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 months 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.