MEDICARE: ANEW THERAPEUTIC SERVICES LLC

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	251S00000X	Community/Behavioral Health Agency	LC50078379	DC
2	251S00000X	Community/Behavioral Health Agency	18124	MD

General Provider Information

NPI Number	:	1457864290
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ANEW THERAPEUTIC SERVICES LLC

Provider Business Mailing Address
First Line	:	137 WESTWAY APT 102
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-1991
Country	:	US
Telephone Number	:	240-473-2313
Fax Number	:

Provider Business Practice Location Address
First Line	:	9500 ARENA DR STE 460C
Second Line	:
City	:	LARGO
State	:	MD
Zip	:	20774-3755
Country	:	US
Telephone Number	:	240-473-2313
Fax Number	:

Authorized Official
Title or Position	:	CLINICAL SOCIAL WORKER
Name	:	LISA GORDON
Credential	:	MSW, LCSW-C, LICSW
Telephone Number	:	240-473-2313

Provider Enumeration Date	:	11/15/2017
Last Update Date	:	11/15/2017

Similar Medicare Providers

1720130297 — DR. SHANNON RENEE WILLIAMS PH.D., LCPC
Practice Location Address:

9500 ARENA DR STE 460B
LARGO, MD
20774-3755

Practice Phone: 301-627-0568
Practice Fax: 301-841-8011

1407188261 — MRS. NICOLE BERNADINE TILLMAN LCSW-C
Practice Location Address:

9500 ARENA DR STE 460A
LARGO, MD
20774-3755

Practice Phone: 301-825-4739
Practice Fax:

1770880577 — KRISTIAN OWENS LCSW-C
Practice Location Address:

9500 ARENA DR , SUITE 460-C
LARGO, MD
20774-3755

Practice Phone: 301-861-4632
Practice Fax:

1639591548 — LISA GORDON MSW, LCSW-C, LICSW
Practice Location Address:

9500 ARENA DR STE 460C
LARGO, MD
20774-3755

Practice Phone: 240-473-2313
Practice Fax:

1235561846 — RESILIENCE HUMAN SERVICES INC.
Practice Location Address:

1300 MERCANTILE LN STE 136C
LARGO, MD
20774-5332

Practice Phone: 240-800-1019
Practice Fax: 240-360-0369

1720836828 — VANESIA SIKE KOFELE NGAPETH
Practice Location Address:

9475 LOTTSFORD RD STE 250
LARGO, MD
20774-5346

Practice Phone: 301-636-6504
Practice Fax:

Directions to “ANEW THERAPEUTIC SERVICES LLC ” 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.