Active NPI
Joshua Owen Ridenour, LCSW-C
- Clinical Social Worker
- Columbia, MD
National Provider Identifier
1396548848
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 28992
- Practice address
- 9841 Broken Land Pkwy Ste 211
Columbia, MD 21046-3068 - Phone
- (443) 708-5856
- NPI assigned
- Mar 31, 2025
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 28992 | MD | Primary |
Addresses
Primary practice location
9841 Broken Land Pkwy Ste 211
Columbia, MD 21046-3068
Mailing address
7428 E Furnace Branch Rd Apt 2
Glen Burnie, MD 21060-7353
Phone (443) 410-8208
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 28992 | MD | MD | Clinical Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gladstone Psychiatry and Wellness | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatry Physician
- Columbia, MD
- NPI 1124487111
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1743379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1743379200000",
"number": "1396548848",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7428 E FURNACE BRANCH RD APT 2",
"city": "GLEN BURNIE",
"state": "MD",
"postal_code": "210607353",
"telephone_number": "443-410-8208"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9841 BROKEN LAND PKWY STE 211",
"city": "COLUMBIA",
"state": "MD",
"postal_code": "210463068",
"telephone_number": "443-708-5856"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RIDENOUR",
"first_name": "JOSHUA",
"middle_name": "OWEN",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2025-03-31",
"last_updated": "2025-03-31",
"certification_date": "2025-03-30",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "28992",
"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 Mar 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.