BLUNTLY COACHED, LLC
NPI 1831657956
Social Worker - Clinical in Princess Anne, MD

Active since March 07, 2019
11779 SOMERSET AVE STE 12, PRINCESS ANNE, MD 21853(443) 754-2164(866) 993-1076 Get Directions Write a Review

NPPES record last updated: January 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jan 9, 2020, Jul 24, 2019, Mar 7, 2019 (3 updates tracked since 2019).

About Bluntly Coached, Llc NPPES

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

BLUNTLY COACHED, LLC (NPI 1831657956) is a healthcare organization registered as a clinical in Princess Anne, Maryland and active in the NPI registry since March 2019. The organization lists Ganiyat Badmus, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1831657956
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameBLUNTLY COACHED, LLC
Location Address11779 SOMERSET AVE STE 12Princess Anne, MD 21853-1271
Mailing Address11779 Somerset Ave Ste 12Princess Anne, MD 21853-1271 · (443) 754-2164 · Fax (866) 993-1076
Fax(866) 993-1076
Organization SubpartNo
Authorized OfficialGaniyat BadmusChief Executive Officer · (443) 754-2164
Enumeration DateMarch 7, 2019
Last NPPES UpdateJanuary 9, 20203 updates tracked since enumeration
NPI 1831657956 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.
11779 SOMERSET AVE STE 12, Princess Anne, MD 21853

Other Identifiers 1

Medicaid302168800MD

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

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

Social Worker (Clinical)
11779 SOMERSET AVE STE 12
PRINCESS ANNE, MD 21853

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 Bluntly Coached, LLC's NPI number?

The NPI number for Bluntly Coached, LLC is 1831657956. It was assigned to this organization in the NPPES registry on March 7, 2019.

Where is Bluntly Coached, LLC located?

Bluntly Coached, LLC is located at 11779 Somerset Ave Ste 12, Princess Anne, MD 21853. The listed phone number is (443) 754-2164.

What is Bluntly Coached, 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 Bluntly Coached, LLC was last updated on January 9, 2020. NPI Profile syncs with the weekly NPPES data releases published by CMS.