Active NPI
Naomi Dickenson
- Occupational Therapist
- Bowie, MD
National Provider Identifier
1417664939
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 10721
- Practice address
- 6911 Laurel Bowie Rd Ste 30
Bowie, MD 20715-1712 - Phone
- (301) 755-4021
- Fax
- (800) 858-5250
- NPI assigned
- Nov 3, 2022
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 10721 | MD | Primary |
Addresses
Primary practice location
6911 Laurel Bowie Rd Ste 30
Bowie, MD 20715-1712
Mailing address
115 Sudbrook LN Ste a
Pikesville, MD 21208-4184
Phone (443) 918-5575
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 |
|---|---|---|---|
| 10721 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1667433600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775779200000",
"number": "1417664939",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "115 SUDBROOK LN STE A",
"city": "PIKESVILLE",
"state": "MD",
"postal_code": "212084184",
"telephone_number": "443-918-5575",
"fax_number": "800-858-5250"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6911 LAUREL BOWIE RD STE 30",
"city": "BOWIE",
"state": "MD",
"postal_code": "207151712",
"telephone_number": "301-755-4021",
"fax_number": "800-858-5250"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DICKENSON",
"first_name": "NAOMI",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-11-03",
"last_updated": "2026-04-10",
"certification_date": "2026-04-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "10721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bowie, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.