Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Irise Behavioral Health, LLC

Organization Clinical Social Worker · NPI 1104582923

Irise Behavioral Health, LLC is a Clinical Social Worker in Upper Marlboro, Maryland. Registered with an NPI since 2021.

In the registry since
2021
Specialties on file
5
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1628 Fernwood Dr
Upper Marlboro, MD 20774-2460
Phone: (334) 796-5469
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X
Community/Behavioral Health Agency Taxonomy 251S00000X
Mental Health Clinic/Center (Including Community Mental Health Center) Taxonomy 261QM0801X
Adult Mental Health Clinic/Center Taxonomy 261QM0850X
Adolescent and Children Mental Health Clinic/Center Taxonomy 261QM0855X

Record details

NPI number1104582923
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Joshua Spann — Co-Owner · (334) 796-5469
NPI enumeratedNovember 16, 2021
Last updated in NPPESNovember 16, 2021
Certification dateNovember 16, 2021
Mailing address1628 Fernwood Dr, Upper Marlboro, MD 20774-2460

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