Healthcare Provider Details

I. General information

NPI: 1346170347
Provider Name (Legal Business Name): MY TIME THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/21/2026
Last Update Date: 05/21/2026
Certification Date: 05/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6200 BALTIMORE AVE STE 300
RIVERDALE MD
20737-1054
US

IV. Provider business mailing address

6200 BALTIMORE AVE STE 300
RIVERDALE MD
20737-1054
US

V. Phone/Fax

Practice location:
  • Phone: 301-683-9256
  • Fax: 888-830-6039
Mailing address:
  • Phone: 301-683-9256
  • Fax: 888-830-6039

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: MS. NNEKA L JEFFERSON
Title or Position: OWNER/OPERATOR
Credential: LCSW-C, LICSW, LCSW
Phone: 571-402-2816