Stillwater Telehealth Therapy, LLC
Social Worker, Clinical in Secretary, MD. Organization (NPI-2).
NPI number1093663650
StatusActive
Last updated in NPPESMar 21, 2026
Details
- NPI
- 1093663650
- Entity type
- Organization (NPI-2)
- Legal business name
- Stillwater Telehealth Therapy, LLC
- Organization subpart
- No
- Enumeration date
- Mar 19, 2026
- Certification date
- Mar 21, 2026
- Last updated
- Mar 21, 2026
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1041C0700X | Social Worker, Clinical | – | – | Yes |
Practice location
115 South StreetSecretary, MD 21664
Phone 443-521-3660
Mailing address
Po Box 40Secretary, MD 21664-0040
Phone 443-521-3660
Authorized official
Sherri Renee Johnson
Ceo
4435213660
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