Organization Active NPI

Balanced Mind and Body LLC

  • Clinical Social Worker
  • Salisbury, MD
National Provider Identifier
1386447548
Registry record updated Mar 31, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALANCED MIND AND BODY LLC
Practice address
5777 Mount Hermon Church Rd
Salisbury, MD 21804-2782
Phone
(443) 359-1033
NPI assigned
Mar 31, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2025

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

Authorized official

Name
Nina PuseyNPI 1447502802
Title
Owner, LCSW
Phone
(443) 359-1033

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

5777 Mount Hermon Church Rd
Salisbury, MD 21804-2782

Mailing address

5777 Mount Hermon Church Rd
Salisbury, MD 21804-2782
Phone (443) 359-1033

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250415003969 MD Part B Supplier - Clinic/Group Practice 7517482243 Receives reassigned benefits from 1 practitioner
Practice locations: Salisbury, MD

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": "1743379200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1743379200000",
    "number": "1386447548",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5777 MOUNT HERMON CHURCH RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042782",
            "telephone_number": "443-359-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5777 MOUNT HERMON CHURCH RD",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218042782",
            "telephone_number": "443-359-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALANCED MIND AND BODY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-31",
        "last_updated": "2025-03-31",
        "certification_date": "2025-03-31",
        "status": "A",
        "authorized_official_last_name": "PUSEY",
        "authorized_official_first_name": "NINA",
        "authorized_official_title_or_position": "OWNER, LCSW",
        "authorized_official_telephone_number": "443-359-1033"
    },
    "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 Salisbury, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2025; 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.