Blue Sky Therapy & Wellness

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

BLUE SKY THERAPY & WELLNESS

Practice address

516 N Rolling Rd Ste 305
Catonsville, MD 21228-4142

Phone

(240) 468-9546

NPI assigned

Jun 13, 2021

Organization subpart

No

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

Authorized official

Name

Amy M Smith, LCSW-CNPI 1861737405

Title

Owner

Phone

(240) 468-9546

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Amy M Smith, LCSW-C

  • Clinical Social Worker
  • Catonsville, MD
  • NPI 1861737405
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1623542400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1629158400000",
    "number": "1093383416",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "240-468-9546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "516 N ROLLING RD STE 305",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284142",
            "telephone_number": "240-468-9546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE SKY THERAPY & WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-13",
        "last_updated": "2021-08-17",
        "certification_date": "2021-08-02",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "AMY",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "240-468-9546",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Ann Blackford, CRNP
• Melissa Blake
• Oren Gil Blam, M.D.
• Melissa Mae Blanock, PSY.D.
• Franklin Wayne Blatt, PHARMD
• Lois Ann Blum, LCSW-C
• Yoohee Kwon Bogan, DPT
• Patricia Blanton Bohandy, APRN/PHM
• Kathleen Marie Boltz, PT, DPT
• Joshua Bombino, LCSW-C

• Clinical Social Worker in Catonsville, MD
• Providers in Catonsville, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.