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

Radical Life Changes LLC

Organization Clinical Social Worker · NPI 1295681682

Radical Life Changes LLC is a Clinical Social Worker in Waldorf, Maryland. Registered with an NPI since 2026.

In the registry since
2026
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

11777 Nationals Ln
Waldorf, MD 20602-3274
Phone: (301) 456-5058
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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 number1295681682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Valencia Lewis — Director · (301) 456-5058
NPI enumeratedMarch 7, 2026
Last updated in NPPESMarch 7, 2026
Certification dateMarch 7, 2026
Mailing address11777 Nationals Ln, Waldorf, MD 20602-3274

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