Active NPI
Amy Lorraine Radion, LCSWC
- Clinical Social Worker
- Baltimore, MD
National Provider Identifier
1417119959
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 13079
- Practice address
- 120 Penn St
Baltimore, MD 21201-1082 - Phone
- (410) 706-2501
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- 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 | 13079 | MD | Primary |
Addresses
Primary practice location
120 Penn St
Baltimore, MD 21201-1082
Mailing address
103 Bush Chapel Rd
Aberdeen, MD 21001-2913
Phone (410) 591-5533
Other names 1
- Amy Lorraine Lanham
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 |
|---|---|---|---|
| 13079 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1694390400000",
"number": "1417119959",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "103 BUSH CHAPEL RD",
"city": "ABERDEEN",
"state": "MD",
"postal_code": "210012913",
"telephone_number": "410-591-5533"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 PENN ST",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212011082",
"telephone_number": "410-706-2501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RADION",
"first_name": "AMY",
"middle_name": "LORRAINE",
"credential": "LCSWC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2023-09-11",
"certification_date": "2023-09-11",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "13079",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "AMY",
"last_name": "LANHAM",
"middle_name": "LORRAINE",
"credential": "LCSWC",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Baltimore, MD
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- Radiation Oncology Affiliates of Maryland
- Radiation Oncology Services of Northwest Baltimore, LLC
- Radical Liberation Counseling, LLC
- Jane Radov, MD
- Sally Radovick, MD
- Karen Elizabeth Radowich, NP-C
- Michael Radowsky, MD
- Saman Radparvar, D.D.S.
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.