Nerd Adventure Therapy 20 LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

NERD ADVENTURE THERAPY 20 LLC

Practice address

300 W Maple Rd
Linthicum, MD 21090-2434

Phone

(410) 443-0177

NPI assigned

Jun 22, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Charlene Nicole Macpherson, LCSWCNPI 1649527979

Title

Ceo

Phone

(410) 443-0177

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Charlene Nicole Macpherson, LCSWC

  • Clinical Social Worker
  • Linthicum, MD
  • NPI 1649527979
  NPD (past) Authorized official

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

{
    "created_epoch": "1782086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1782086400000",
    "number": "1659207231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 S CONKLING ST APT 541",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212245332",
            "telephone_number": "410-443-0177"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W MAPLE RD",
            "city": "LINTHICUM",
            "state": "MD",
            "postal_code": "210902434",
            "telephone_number": "410-443-0177"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1200 S Conkling St Apt 541",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212245332",
            "country_code": "US",
            "telephone_number": "410-443-0177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "NERD ADVENTURE THERAPY 20 LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-06-22",
        "last_updated": "2026-06-22",
        "certification_date": "2026-06-22",
        "status": "A",
        "authorized_official_last_name": "MACPHERSON",
        "authorized_official_first_name": "CHARLENE",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-443-0177",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSWC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Linthicum, MD
• Providers in Linthicum, 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 Jun 22, 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.