Organization Active NPI

Nudirection Behavioral Health LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1710743448
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
NUDIRECTION BEHAVIORAL HEALTH LLC
Practice address
2901 Druid Park Dr Ste 305
Baltimore, MD 21215-8102
Phone
(443) 621-3573
Fax
(443) 316-8018
NPI assigned
Feb 21, 2024
Last updated
Feb 21, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Authorized official

Name
Edgar RobinsonNPI 1689386302
Title
Ceo
Phone
(443) 621-3573

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

2901 Druid Park Dr Ste 305
Baltimore, MD 21215-8102

Mailing address

2901 Druid Park Dr Ste 305
Baltimore, MD 21215-8102
Phone (443) 621-3573

National Provider Directory

National Provider Directory

Locations

2901 Druid Park Dr
Ste 305
Baltimore, MD 21215
Phone (443) 621-3573

Practitioners & affiliated clinicians

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.

NPI Registry JSON

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

{
    "created_epoch": "1708473600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1708473600000",
    "number": "1710743448",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158102",
            "telephone_number": "443-621-3573",
            "fax_number": "443-316-8018"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2901 DRUID PARK DR STE 305",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212158102",
            "telephone_number": "443-621-3573",
            "fax_number": "443-316-8018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NUDIRECTION BEHAVIORAL HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-02-21",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "EDGAR",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-621-3573"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY 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 Feb 21, 2024; 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.