NPIMap

Organization Active NPI

Living Deliberately

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1326435652
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17433 Issued in MD
Legal business name
LIVING DELIBERATELY
Practice address
4419 Falls Rd
Baltimore, MD 21211-1226
Phone
(410) 262-9894
NPI assigned
Apr 24, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Authorized official

Name
Thinh Nguyen, LCSW-CNPI 1881856698
Title
Owner
Phone
(410) 262-9894

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 MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X 17433 MD Primary

Addresses

Primary practice location

4419 Falls Rd
Baltimore, MD 21211-1226

Mailing address

2609 Manhattan Ave
Baltimore, MD 21215-4116
Phone (410) 262-9894

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20240613000729 MD Part B Supplier - Clinic/Group Practice 0244772622 Receives reassigned benefits from 6 practitioners
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

4419 Falls Rd
Baltimore, MD 21211
Phone (410) 262-9894

Practitioners & affiliated clinicians

Practitioners 6

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": "1429833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709856000000",
    "number": "1326435652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2609 MANHATTAN AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212154116",
            "telephone_number": "410-262-9894"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4419 FALLS RD",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212111226",
            "telephone_number": "410-262-9894"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING DELIBERATELY",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A",
        "authorized_official_last_name": "NGUYEN",
        "authorized_official_first_name": "THINH",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-262-9894",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17433",
            "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 Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.