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

My Village Therapeutic Services, LLC

Organization Clinical Social Worker · NPI 1518642792

My Village Therapeutic Services, LLC is a Clinical Social Worker in Baltimore, Maryland. Registered with an NPI since 2023.

In the registry since
2023
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

802 N Fulton Ave
Baltimore, MD 21217-1425
Phone: (443) 885-0287
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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

Record details

NPI number1518642792
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Shanae Gardner — Founder/Ceo/Therapist · (443) 885-0287
NPI enumeratedJune 16, 2023
Last updated in NPPESJanuary 16, 2025
Certification dateJanuary 16, 2025
Mailing address5457 Twin Knolls Road, Suite 300, #1314, Columbia, MD 21045

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