Active NPI
Romina Gaddy, LCSW-C
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1255669024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 04424
- Practice address
- 2510 Saint Paul St
Baltimore, MD 21218-4760 - Phone
- (410) 558-0032
- Fax
- (410) 366-2108
- NPI assigned
- Dec 6, 2009
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04424 | MD | Primary |
Addresses
Primary practice location
2510 Saint Paul St
Baltimore, MD 21218-4760
Mailing address
6133 Marlora Rd
Baltimore, MD 21239-1929
Phone (410) 262-7104
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04424 | MD | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1260057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1260057600000",
"number": "1255669024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6133 MARLORA RD",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212391929",
"telephone_number": "410-262-7104",
"fax_number": "410-366-2108"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2510 SAINT PAUL ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212184760",
"telephone_number": "410-558-0032",
"fax_number": "410-366-2108"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GADDY",
"first_name": "ROMINA",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-12-06",
"last_updated": "2009-12-06",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "04424",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Baltimore, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.