Active NPI
Polaris Wellness LLC
- Social Worker
- Columbia, MD
National Provider Identifier
1033914403
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Social Worker
- Legal business name
- POLARIS WELLNESS LLC
- Practice address
- 10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648 - Phone
- (302) 409-1585
- NPI assigned
- Feb 18, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ivy Scott, LCSW-C
- Title
- Owner/Ceo
- Phone
- (302) 409-1585
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | Primary |
Addresses
Primary practice location
10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Mailing address
10440 Little Patuxent Pkwy Ste 300
Columbia, MD 21044-3648
Phone (302) 409-1585
Other practice location 1
6801 Belair Rd
Baltimore, MD 21206-1121
Phone (410) 665-3000
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Social Worker
- Columbia, MD
- NPI 1851887178
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1739836800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1742256000000",
"number": "1033914403",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10440 LITTLE PATUXENT PKWY STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443648",
"telephone_number": "302-409-1585"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10440 LITTLE PATUXENT PKWY STE 300",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210443648",
"telephone_number": "302-409-1585"
}
],
"practiceLocations": [
{
"address_1": "6801 Belair Rd",
"address_purpose": "LOCATION",
"city": "Baltimore",
"state": "MD",
"postal_code": "212061121",
"country_code": "US",
"telephone_number": "410-665-3000",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "POLARIS WELLNESS LLC",
"organizational_subpart": "NO",
"enumeration_date": "2025-02-18",
"last_updated": "2025-03-18",
"certification_date": "2025-03-18",
"status": "A",
"authorized_official_last_name": "SCOTT",
"authorized_official_first_name": "IVY",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "302-409-1585",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Columbia, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.