AGENT OF CHANGE, LLC
NPI 1538515309
Social Worker - Clinical in Waldorf, MD

Active since May 10, 2016
605 POST OFFICE RD, SUITE 301, WALDORF, MD 20602(240) 346-0934 Get Directions Write a Review

NPPES record last updated: May 10, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Agent Of Change, Llc NPPES

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

AGENT OF CHANGE, LLC (NPI 1538515309) is a healthcare organization registered as a clinical in Waldorf, Maryland and active in the NPI registry since May 2016. The organization lists Bertha Lee White, Clinical Therapist, as its authorized official.

NPPES Registry Identity

NPI1538515309
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameAGENT OF CHANGE, LLC
Location Address605 POST OFFICE RD, SUITE 301Waldorf, MD 20602-1913
Mailing Address605 Post Office Rd, Suite 301Waldorf, MD 20602-1913 · (240) 346-0934
Organization SubpartNo
Authorized OfficialBertha Lee WhiteClinical Therapist · (240) 346-0934
Enumeration DateMay 10, 2016
NPI 1538515309 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 · 15403
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.
605 POST OFFICE RD, Waldorf, MD 20602

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

Other Providers at the Same Location NPPES 3

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

Pediatrics
605 POST OFFICE RD, SUITE 102
WALDORF, MD 20602
Physician Assistant (Medical)
605 POST OFFICE RD, SUITE 102
WALDORF, MD 20602
Dentist (General Practice)
605 POST OFFICE RD, SUITE 203
WALDORF, MD 20602

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 Agent Of Change, LLC's NPI number?

The NPI number for Agent Of Change, LLC is 1538515309. It was assigned to this organization in the NPPES registry on May 10, 2016.

Where is Agent Of Change, LLC located?

Agent Of Change, LLC is located at 605 Post Office Rd Suite 301, Waldorf, MD 20602. The listed phone number is (240) 346-0934.

What is Agent Of Change, 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 Agent Of Change, LLC was last updated on May 10, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.