Healthcare Provider Details
I. General information
NPI: 1518512649
Provider Name (Legal Business Name): ALL THINGS NEW CLINICAL SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 08/06/2019
Last Update Date: 01/06/2026
Certification Date: 01/06/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
1808 61ST AVE
CHEVERLY MD
20785-3803
US
IV. Provider business mailing address
1808 61ST AVE
CHEVERLY MD
20785-3803
US
V. Phone/Fax
- Phone: 240-319-0182
- Fax: 240-319-0182
- Phone: 301-246-3038
- Fax: 855-631-0312
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 251S00000X |
| Taxonomy | Community/Behavioral Health Agency |
| License Number | |
| License Number State | |
| # 3 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YP2500X |
| Taxonomy | Professional Counselor |
| License Number | |
| License Number State | |
| # 4 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name: DR.
DEMAREST
CRAWL
Title or Position: OWNER
Credential: LCSW-C, LICSW, DSW
Phone: 240-319-0182