Healthcare Provider Details

I. General information

NPI: 1750727970
Provider Name (Legal Business Name): PEARSON-CARMODY COUNSELING
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/14/2013
Last Update Date: 02/06/2026
Certification Date: 02/06/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32630 CEDAR DR UNIT A
MILLVILLE DE
19967-6946
US

IV. Provider business mailing address

PO BOX 572
BETHANY BEACH DE
19930-0572
US

V. Phone/Fax

Practice location:
  • Phone: 443-206-0457
  • Fax: 302-402-6100
Mailing address:
  • Phone: 443-206-0457
  • Fax: 302-402-6100

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License NumberQ1-0000983
License Number StateDE

VIII. Authorized Official

Name: AMANDA E PEARSON-CARMODY
Title or Position: LCSW/OWNER
Credential: LCSW
Phone: 443-206-0457