Organization Active NPI

Created Balance Therapy

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1295587525
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CREATED BALANCE THERAPY
Practice address
7130 Minstrel Way Ste 125
Columbia, MD 21045-5329
Phone
(410) 205-5052
NPI assigned
Apr 2, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Authorized official

Name
Erica Ardinger, LCSW-CNPI 1275192700
Title
Therapist
Phone
(410) 205-5052

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)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

7130 Minstrel Way Ste 125
Columbia, MD 21045-5329

Mailing address

2317 Old Maple CT
Ellicott City, MD 21042-1768
Phone (410) 205-5052

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1712016000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715904000000",
    "number": "1295587525",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2317 OLD MAPLE CT",
            "city": "ELLICOTT CITY",
            "state": "MD",
            "postal_code": "210421768",
            "telephone_number": "410-205-5052"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7130 MINSTREL WAY STE 125",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455329",
            "telephone_number": "410-205-5052"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CREATED BALANCE THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-04-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A",
        "authorized_official_last_name": "ARDINGER",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "410-205-5052",
        "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": []
}

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 May 17, 2024; 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.