Todd Michael Psenicska, LMSW
Individual provider Active NPI Social Worker · Columbia, MD
NPI 1003591249 · NPPES record last updated Jun 15, 2023
Key facts
- NPI
- 1003591249
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 30224 (MD)
- Practice address
- 6410 Dobbin Rd Ste F
Columbia, MD 21045-4774 - Phone
- (240) 304-3327
- Fax
- (410) 609-7091
- NPI assigned
- Jun 15, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30224 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 30224 | MD | Yes |
Addresses
Primary practice location
6410 Dobbin Rd Ste F
Columbia, MD 21045-4774
Mailing address
7474 Greenway Center Dr Ste 200
Greenbelt, MD 20770-3524
Phone (240) 304-3327
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 15, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.