Individual provider Active NPI

Carliqua Spencer, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Windsor Mill, MD
National Provider Identifier
1235724105
Registry record updated Nov 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
R221599 Issued in MD
Practice address
7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534
Phone
(443) 961-2051
Fax
(443) 526-3615
NPI assigned
Mar 3, 2021
Last updated
Nov 13, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X R221599 MD Primary

Addresses

Primary practice location

7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534

Mailing address

7004 Security Blvd Ste 300
Windsor Mill, MD 21244-2534
Phone (443) 961-2051

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: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210414000012 MD Practitioner - Nurse Practitioner 3577971464 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R221599MDMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mind-4-Concepts Outpatient Mental Health LLC CurrentSince Mar 11, 2025 Accepting new patients
Mind-4-Concepts Outpatient Mental Health LLC CurrentSince Mar 11, 2025 Accepting new patients
Linda's Helping Hands LLC Psychiatric/Mental Health CurrentSince Aug 15, 2025 Accepting new patients

Locations

1800 N Charles St
Ste 508
Baltimore, MD 21201
Phone (410) 801-8828

7004 Security Blvd
Ste 300
Windsor Mill, MD 21244
Phone (410) 936-3768

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762992000000",
    "number": "1235724105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534",
            "telephone_number": "443-961-2051",
            "fax_number": "443-526-3615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7004 SECURITY BLVD STE 300",
            "city": "WINDSOR MILL",
            "state": "MD",
            "postal_code": "212442534",
            "telephone_number": "443-961-2051",
            "fax_number": "443-526-3615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCER",
        "first_name": "CARLIQUA",
        "name_prefix": "Mrs.",
        "credential": "PMHNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2025-11-13",
        "certification_date": "2025-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "MD",
            "license": "R221599",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Windsor Mill, MD

Sources for this page

Verify at the official NPI Registry.