Individual provider Active NPI

Ronni F Emden, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1467589119
Registry record updated Sep 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
03928 Issued in MD
Practice address
10630 Little Patuxent Pkwy Ste 307
Columbia, MD 21044-6211
Phone
(443) 629-5559
Fax
(410) 715-1182
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 27, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X 03928 MD Primary

Addresses

Primary practice location

10630 Little Patuxent Pkwy Ste 307
Columbia, MD 21044-6211

Mailing address

10630 Little Patuxent Pkwy Ste 307
Columbia, MD 21044-6211
Phone (443) 629-5559

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20090615000032 MD Practitioner - Clinical Social Worker 5092865006 Reassigns benefits to 1 organization
I20241030004373 MD Practitioner - Clinical Social Worker 5092865006 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 1980
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

10630 Little Patuxent Pkwy
Suite 307
Columbia, MD 21044-3200

10630 Little Patuxent Pkwy
Suite 307
Columbia, MD 21044-6211
Phone (443) 629-5559

12290 Green Meadow Dr Apt
Suite 116
Columbia, MD 21044-4847

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
DRS. Bacharach, Volkman and Associates, L.L.C. CurrentSince Apr 21, 2009 Accepting new patients
Ronni F Emden LLC Clinical CurrentSince Oct 18, 2024 Accepting new patients

Locations

5005 Signal Bell Ln
Ste 206
Clarksville, MD 21029
Phone (410) 715-1180

10630 Little Patuxent Pkwy
Ste 307
Columbia, MD 21044
Phone (410) 740-0409

5450 Knoll North Dr
Ste 100
Columbia, MD 21045
Phone (410) 601-1800

4801 Dorsey Hall Dr
Ste 200
Ellicott City, MD 21042
Phone (410) 715-1180

Organizations & group practices 2

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727395200000",
    "number": "1467589119",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446211",
            "telephone_number": "443-629-5559",
            "fax_number": "410-715-1182"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10630 LITTLE PATUXENT PKWY STE 307",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210446211",
            "telephone_number": "443-629-5559",
            "fax_number": "410-715-1182"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMDEN",
        "first_name": "RONNI",
        "middle_name": "F",
        "credential": "LCSW-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2024-09-27",
        "certification_date": "2024-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "03928",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

Verify at the official NPI Registry.