Individual provider Active NPI

Ely Roman Peralta, LCSW-C, LICSW, LCSW

  • Clinical Social Worker
  • Towson, MD
National Provider Identifier
1508524505
Registry record updated Sep 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
27223 Issued in MD
Practice address
828 Dulaney Valley Rd Ste 11
Towson, MD 21204-2822
Phone
(410) 870-0490
NPI assigned
Dec 7, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 30, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X LC200003207 DC
Clinical Social Worker 1041C0700X 27223 MD Primary
Clinical Social Worker 1041C0700X 0904016495 VA

Addresses

Primary practice location

828 Dulaney Valley Rd Ste 11
Towson, MD 21204-2822

Mailing address

828 Dulaney Valley Rd Ste 11
Towson, MD 21204-2822
Phone (410) 870-0490

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
LC200003207DCMDClinical Social Worker
27223MDMDClinical Social Worker
0904016495VAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Resonate Counseling Services LLC CurrentSince Oct 5, 2025 Accepting new patients

Locations

828 Dulaney Valley Rd
Ste 11
Towson, MD 21204
Phone (410) 823-1880

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.

NPI Registry JSON

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

{
    "created_epoch": "1638835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1759190400000",
    "number": "1508524505",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "828 DULANEY VALLEY RD STE 11",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042822",
            "telephone_number": "410-870-0490"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "828 DULANEY VALLEY RD STE 11",
            "city": "TOWSON",
            "state": "MD",
            "postal_code": "212042822",
            "telephone_number": "410-870-0490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PERALTA",
        "first_name": "ELY",
        "middle_name": "ROMAN",
        "name_prefix": "Mr.",
        "credential": "LCSW-C, LICSW, LCSW",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-12-07",
        "last_updated": "2025-09-30",
        "certification_date": "2025-09-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "DC",
            "license": "LC200003207",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "27223",
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "VA",
            "license": "0904016495",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Towson, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 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.

Verify at the official NPI Registry.