Individual provider Active NPI

Amy Nicholson, LCSW-C

  • Clinical Social Worker
  • Hunt Valley, MD
National Provider Identifier
1306257316
Registry record updated Mar 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
14213 Issued in MD
Practice address
11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002
Phone
(410) 800-2169
NPI assigned
May 13, 2014
Last updated
Mar 11, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 14213 MD Primary
Clinical Social Worker 1041C0700X Q1-0012254 DE

Addresses

Primary practice location

11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002

Mailing address

11350 McCormick Rd Ste 800
Hunt Valley, MD 21031-1002
Phone (410) 800-2169

Other identifiers 6

IdentifierTypeStateIssuer
R968OtherMDCAREFIRST FEDERAL
259147-000OtherMDMAGELLAN BEHAVIORAL HEALTH
346646OtherMDMHN
609550001MedicaidMD
LM49EAOtherMDCAREFIRST OF MARYLAND
7840093OtherMDAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DE2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20140908000928 MD Practitioner - Clinical Social Worker 2567680457 Reassigns benefits to 4 organizations
I20241213002329 DE Practitioner - Clinical Social Worker 2567680457 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Balance Point Wellness LLCGroup PAC ID 9931521556, 36 clinicians

Practice addresses (Care Compare)

33913 Ardwell Rd
Frankford, DE 19945-3370
Phone (302) 515-6410

5820 York Rd
Suite 201
Baltimore, MD 21212-3620
Phone (443) 560-6632

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
Q1-0012254DEMDClinical Social Worker
14213MDMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Counseling LLC Clinical CurrentSince Oct 25, 2024 Accepting new patients
Balance Point Wellness, LLC CurrentSince Dec 13, 2022 Accepting new patients
Balanced Life Counseling Services, LLC Clinical CurrentSince Sep 6, 2022 Accepting new patients
Evolve Mental Wellness Clinical CurrentSince Aug 1, 2022 Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients
Eastern Shore Psychological Services, LLC Past Accepting new patients

Locations

5820 York Rd
Ste 201
Baltimore, MD 21212
Phone (410) 365-0693

2015 Emmorton Rd
Ste 201
Bel Air, MD 21015
Phone 41080021695740

11350 McCormick Rd
Ste 800
Hunt Valley, MD 21031
Phone (410) 259-0271

7658 Belair Rd
Nottingham, MD 21236
Phone (410) 701-0012

1411 Wesley Dr
Salisbury, MD 21801
Phone (410) 642-4011

560 Riverside Dr
Ste B101
Salisbury, MD 21801
Phone (410) 422-3823

Organizations & group practices 6

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": "1399939200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1741651200000",
    "number": "1306257316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 800",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-800-2169"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11350 MCCORMICK RD STE 800",
            "city": "HUNT VALLEY",
            "state": "MD",
            "postal_code": "210311002",
            "telephone_number": "410-800-2169"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NICHOLSON",
        "first_name": "AMY",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-05-13",
        "last_updated": "2025-03-11",
        "certification_date": "2025-03-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "14213",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DE",
            "license": "Q1-0012254",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST FEDERAL",
            "identifier": "R968",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALTH",
            "identifier": "259147-000",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MHN",
            "identifier": "346646",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "609550001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST OF MARYLAND",
            "identifier": "LM49EA",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7840093",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hunt Valley, MD

Sources for this page

Verify at the official NPI Registry.