Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Radical Life Changes LLC

Organization Clinical Social Worker · NPI 1295681682

Radical Life Changes LLC provides Clinical Social Worker services 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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