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

My Village Therapeutic Services, LLC

Organization Clinical Social Worker · NPI 1518642792

My Village Therapeutic Services, LLC provides Clinical Social Worker services 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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