Individual provider Active NPI

Robert Edward Reichhelm, LCSW-C

  • Clinical Social Worker
  • Linthicum, MD
National Provider Identifier
1609369438
Registry record updated Jan 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
17032 Issued in MD
Practice address
939 Elkridge Landing Rd Ste 350
Linthicum, MD 21090-2953
Phone
(443) 354-8903
Fax
(443) 410-0643
NPI assigned
Jun 6, 2018
Last updated
Jan 4, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 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 17032 MD Primary

Addresses

Primary practice location

939 Elkridge Landing Rd Ste 350
Linthicum, MD 21090-2953

Mailing address

6416 Marietta Ave
Baltimore, MD 21214-1109
Phone (410) 960-3963

Other practice location 1

120 Sister Pierre Dr Ste 204
Towson, MD 21204-7525
Phone (410) 960-3963

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD
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 1

Enrollment IDStateProvider typePAC IDDetails
I20240222003012 MD Practitioner - Clinical Social Worker 0941644454 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Clinical Social Worker
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Associated Behavioral Health Services, LLCGroup PAC ID 1951660224, 10 clinicians

Practice addresses (Care Compare)

939 Elkridge Landing Rd
Suite 350
Linthicum, MD 21090-2953
Phone (443) 588-8753

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
17032MDMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Associated Behavioral Health Services, LLC Clinical CurrentSince Jan 26, 2024 Accepting new patients

Locations

939 Elkridge Landing Rd
Ste 350
Linthicum Hts, MD 21090
Phone (443) 354-8903

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1704326400000",
    "number": "1609369438",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6416 MARIETTA AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212141109",
            "telephone_number": "410-960-3963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 ELKRIDGE LANDING RD STE 350",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902953",
            "telephone_number": "443-354-8903",
            "fax_number": "443-410-0643"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "120 Sister Pierre Dr Ste 204",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212047525",
            "country_code": "US",
            "telephone_number": "410-960-3963",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "REICHHELM",
        "first_name": "ROBERT",
        "middle_name": "EDWARD",
        "name_prefix": "Mr.",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2024-01-04",
        "certification_date": "2024-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "17032",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Linthicum, MD

Sources for this page

Verify at the official NPI Registry.