Productive Psych LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

PRODUCTIVE PSYCH LLC

Practice address

10715 Charter Dr Ste 130
Columbia, MD 21044-2892

Phone

(410) 656-9010

Fax

(443) 402-3945

NPI assigned

Dec 4, 2024

Last updated

Apr 27, 2026By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Nickolaus King, LCSW-CNPI 1124758602

Title

Owner

Phone

(410) 656-9010

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in DE

Enrollment records 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Nickolaus King, LCSW-C

  • Clinical Social Worker
  • Columbia, MD
  • NPI 1124758602

  DE, Mental Health

  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1733270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1777248000000",
    "number": "1649086729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4690 MILLENNIUM DR STE 300",
            "city": "BELCAMP",
            "state": "MD",
            "postal_code": "210171527",
            "telephone_number": "410-656-9010",
            "fax_number": "443-402-3945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10715 CHARTER DR STE 130",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210442892",
            "telephone_number": "410-656-9010",
            "fax_number": "443-402-3945"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "971 US Highway 202 N # 5623",
            "address_purpose": "LOCATION",
            "city": "Branchburg",
            "state": "NJ",
            "postal_code": "088763757",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4690 Millennium Dr Ste 300",
            "address_purpose": "LOCATION",
            "city": "Belcamp",
            "state": "MD",
            "postal_code": "210171527",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "fax_number": "443-402-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "200 Continental Dr Ste 401",
            "address_purpose": "LOCATION",
            "city": "Newark",
            "state": "DE",
            "postal_code": "197134337",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "fax_number": "443-402-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1901 Pennsylvania Ave NW Ste 900",
            "address_purpose": "LOCATION",
            "city": "Washington",
            "state": "DC",
            "postal_code": "200063405",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "fax_number": "443-402-3945",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1500 John F Kennedy Blvd Ste 450",
            "address_purpose": "LOCATION",
            "city": "Philadelphia",
            "state": "PA",
            "postal_code": "191021733",
            "country_code": "US",
            "telephone_number": "410-656-9010",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PRODUCTIVE PSYCH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-12-04",
        "last_updated": "2026-04-27",
        "certification_date": "2026-04-27",
        "status": "A",
        "authorized_official_last_name": "KING",
        "authorized_official_first_name": "NICKOLAUS",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-656-9010",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "104100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Columbia, MD
• Providers in Columbia, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.