MEDICARE: CLEAN AND SOBER

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15662	MD

General Provider Information

NPI Number	:	1629127816
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CLEAN AND SOBER

Provider Business Mailing Address
First Line	:	7610 PENNSYLVANIA AVE
Second Line	:	SUITE 104
City	:	FORESTVILLE
State	:	MD
Zip	:	20747-4701
Country	:	US
Telephone Number	:	301-420-4663
Fax Number	:	301-420-3492

Provider Business Practice Location Address
First Line	:	7610 PENNSYLVANIA AVE
Second Line	:	SUITE 104
City	:	FORESTVILLE
State	:	MD
Zip	:	20747-4701
Country	:	US
Telephone Number	:	301-420-4663
Fax Number	:	301-420-3492

Authorized Official
Title or Position	:	EXECUTIVE DIRECTOR
Name	:	MR. FRITZ LINDROTH SCHMIDT
Credential	:	M.A.
Telephone Number	:	410-268-6800

Provider Enumeration Date	:	01/09/2007
Last Update Date	:	09/06/2013

Similar Medicare Providers

1306807797 — DR. HAROLD OLIVER ALEXANDER MD
Practice Location Address:

7610 PENNSYLVANIA AVE , SUITE 305
FORESTVILLE, MD
20747-4701

Practice Phone: 301-669-1870
Practice Fax: 301-669-1873

1568547883 — INTEGRATED OB GYN SERVICES
Practice Location Address:

7610 PENNSYLVANIA AVE , SUITE 305
FORESTVILLE, MD
20747-4701

Practice Phone: 301-669-1870
Practice Fax: 301-669-1873

1043374929 — DR. IBRAHIM I.M. SALIH M.D.
Practice Location Address:

7610 PENNSYLVANIA AVE , SUITE 200
FORESTVILLE, MD
20747-4701

Practice Phone: 301-817-3001
Practice Fax:

1316095755 — FLOYD BAGWELL
Practice Location Address:

7610 PENNSYLVANIA AVE , 302
FORESTVILLE, MD
20747-4701

Practice Phone: 301-568-4800
Practice Fax:

1306998042 — ROTHSCHILD'S ORTHOPEDIC APPLIANCES, INC.
Practice Location Address:

7610 PENNSYLVANIA AVE , SUITE 303
FORESTVILLE, MD
20747-4701

Practice Phone: 410-546-5502
Practice Fax: 410-546-5545

1205047859 — JOHN WILSON III
Practice Location Address:

7610 PENNSYLVANIA AVE
FORESTVILLE, MD
20747-4701

Practice Phone: 301-568-4800
Practice Fax:

Directions to “CLEAN AND SOBER ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.