Archibald Optimal Health Services, LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

11283 Issued in MD

Legal business name

ARCHIBALD OPTIMAL HEALTH SERVICES, LLC

Practice address

1431 E Baltimore St
Baltimore, MD 21231-1405

Phone

(410) 258-1872

NPI assigned

Jun 22, 2012

Organization subpart

No

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

Authorized official

Name

Dr. Paul Archibald, LCSW-CNPI 1033313812

Title

Ceo

Phone

(410) 357-1404

Specialties & licenses 2

Addresses

Practitioners 2

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

• Paul Clifford Archibald, MA, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1033313812
  NPD Authorized official
• Sophia C Cox, LCPC

  • Professional Counselor
  • Randallstown, MD
  • NPI 1639313828
  NPD (past)

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

{
    "created_epoch": "1340323200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1705968000000",
    "number": "1306109343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1431 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311405",
            "telephone_number": "410-357-1404",
            "fax_number": "410-342-4130"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1431 E BALTIMORE ST",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212311405",
            "telephone_number": "410-258-1872"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 N Carey St Ste B",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212172410",
            "country_code": "US",
            "telephone_number": "410-357-1404",
            "fax_number": "410-342-4130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ARCHIBALD OPTIMAL HEALTH SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-22",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A",
        "authorized_official_last_name": "ARCHIBALD",
        "authorized_official_first_name": "PAUL",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-357-1404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2342",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Archer
• Nicholas Fedyk Archer
• Archers Lovely Hearts Home Care &Nrsa
• Archers Lovely Hearts Home Care &Nrsa
• Archers Lovely Hearts Home Care &Nrsa
• Archibald Optimal Health Services, LLC
• Paul Clifford Archibald, MA, LCSW-C
• Jamie Archibong, M.A.
• Eyamba Archibong, LCSW-C
• Samantha Ann Archibong, CRNP-PMH

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Jan 23, 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.