Organization Active NPI

Pebble Psychotherapy LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1528964541
Registry record updated Oct 16, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
PEBBLE PSYCHOTHERAPY LLC
Practice address
306 W Redwood St Ste 200
Baltimore, MD 21201-1708
Phone
(410) 297-0387
NPI assigned
Oct 16, 2026
Last updated
Oct 16, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2026

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

Authorized official

Name
Ellen Lischin-Smith, LCSW-C
Title
Psychotherapist
Phone
(410) 297-0387

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X Primary

Addresses

Primary practice location

306 W Redwood St Ste 200
Baltimore, MD 21201-1708

Mailing address

306 W Redwood St Ste 200
Baltimore, MD 21201-1708

National Provider Directory

National Provider Directory

Locations

306 W Redwood St
Ste 200
Baltimore, MD 21201
Phone (240) 262-0094

NPI Registry JSON

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

{
    "created_epoch": "1792108800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792108800000",
    "number": "1528964541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "306 W REDWOOD ST STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "306 W REDWOOD ST STE 200",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212011708",
            "telephone_number": "410-297-0387"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEBBLE PSYCHOTHERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-10-16",
        "last_updated": "2026-10-16",
        "certification_date": "2026-10-16",
        "status": "A",
        "authorized_official_last_name": "LISCHIN-SMITH",
        "authorized_official_first_name": "ELLEN",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST",
        "authorized_official_telephone_number": "410-297-0387",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.

Verify at the official NPI Registry.