Individual provider Active NPI

Arlene Paulson, LCSW-C

  • Clinical Social Worker
  • Kensington, MD
National Provider Identifier
1003314816
Registry record updated Jan 26, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
18847 Issued in MD
Practice address
10605 Concord St Ste 207
Kensington, MD 20895-2526
Phone
(301) 231-9001
NPI assigned
Jan 26, 2018
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 26, 2018

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 18847 MD Primary

Addresses

Primary practice location

10605 Concord St Ste 207
Kensington, MD 20895-2526

Mailing address

10605 Concord St Ste 207
Kensington, MD 20895-2526
Phone (301) 231-9001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230320000866 MD Practitioner - Clinical Social Worker 8224402979 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
18847MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Ime Behavioral Health CurrentSince Feb 1, 2023 Accepting new patients
Chesapeake Counseling Clinical Past Accepting new patients

Locations

8840 Stanford Blvd
Ste 1600
Columbia, MD 21045
Phone (240) 512-0141

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1516924800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1516924800000",
    "number": "1003314816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST STE 207",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952526",
            "telephone_number": "301-231-9001",
            "fax_number": "301-231-0124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10605 CONCORD ST STE 207",
            "city": "KENSINGTON",
            "state": "MD",
            "postal_code": "208952526",
            "telephone_number": "301-231-9001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAULSON",
        "first_name": "ARLENE",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-01-26",
        "last_updated": "2018-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "18847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kensington, MD

Sources for this page

Verify at the official NPI Registry.