Agent of Change, LLC
NPI 1538515309ActiveOrganization· Social Worker, Clinical· Waldorf, MD
Social Worker, Clinical in Waldorf, Maryland, registered in NPPES in May 2016. The authorized official on file is Bertha Lee White, LCSW-C, Clinical Therapist.
Overview
| NPI | 1538515309 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 10, 2016 |
| Last updated in NPPES | May 10, 2016 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Social Worker, Clinical Primary | 1041C0700X | 15403 | MD |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 4, 2026 | No match | — |
| New York OMIG · Nov 4, 2026 | No match | — |
| Ohio Medicaid · Nov 4, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 4, 2026 | No match | — |
| Washington HCA · Nov 4, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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