Individual provider Active NPI

Alicia Christine Pearson, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1265978548
Registry record updated Oct 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21383 Issued in MD
Practice address
6600 York Rd Ste 103
Baltimore, MD 21212-2092
Phone
(410) 622-3166
Fax
(443) 583-0446
NPI assigned
Jan 11, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 21383 MD Primary

Addresses

Primary practice location

6600 York Rd Ste 103
Baltimore, MD 21212-2092

Mailing address

6600 York Rd Ste 103
Baltimore, MD 21212-2092
Phone (410) 622-3166

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)
Not enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Renewed Health, L.L.C Current Accepting new patients
Emerge Counseling and Wellness Center Clinical Current Accepting new patients

Locations

6600 York Rd
Ste 103
Baltimore, MD 21212
Phone (410) 622-3166

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1484092800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698019200000",
    "number": "1265978548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122092",
            "telephone_number": "410-622-3166",
            "fax_number": "443-583-0446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6600 YORK RD STE 103",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212122092",
            "telephone_number": "410-622-3166",
            "fax_number": "443-583-0446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEARSON",
        "first_name": "ALICIA",
        "middle_name": "CHRISTINE",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-11",
        "last_updated": "2023-10-23",
        "certification_date": "2023-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21383",
            "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 Oct 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.