Healthcare Provider Details

I. General information

NPI: 1275341927
Provider Name (Legal Business Name): STRIVING TO OVERCOME, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/27/2024
Last Update Date: 12/27/2024
Certification Date: 12/27/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

205 STEEPLE CHASE DR STE 303
PRINCE FREDERICK MD
20678-4054
US

IV. Provider business mailing address

PO BOX 661
PRINCE FREDERICK MD
20678-0661
US

V. Phone/Fax

Practice location:
  • Phone: 443-404-1956
  • Fax: 410-414-8002
Mailing address:
  • Phone: 443-404-1956
  • Fax: 410-414-8002

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

# 1
Identifier071284100
Identifier TypeMEDICAID
Identifier StateMD
Identifier Issuer

VIII. Authorized Official

Name: SHARMAN WARRICK
Title or Position: CLINICAL SOCIAL WORKER
Credential: LCSW-C
Phone: 443-404-1956