Individual provider Active NPI

Ellarwee Gadsden, PHD, LCSW

  • Mental Health Counselor
  • Baltimore, MD
National Provider Identifier
1720421324
Registry record updated Apr 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
License
13955 Issued in MD
Practice address
800 N Fulton Ave
Baltimore, MD 21217-1425
Phone
(410) 462-6001
Fax
(443) 708-1443
NPI assigned
Apr 12, 2013
Last updated
Apr 12, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 12, 2013

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health Counselor 101YM0800X 13955 MD Primary

Addresses

Primary practice location

800 N Fulton Ave
Baltimore, MD 21217-1425

Mailing address

800 N Fulton Ave
Baltimore, MD 21217-1425
Phone (410) 462-6001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Doctor of Philosophy

State licenses

LicenseStateTypeSpecialty
13955MDMDMental Health Counselor

NPI Registry JSON

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

{
    "created_epoch": "1365724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365724800000",
    "number": "1720421324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171425",
            "telephone_number": "410-462-6001",
            "fax_number": "443-708-1443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 N FULTON AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212171425",
            "telephone_number": "410-462-6001",
            "fax_number": "443-708-1443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GADSDEN",
        "first_name": "ELLARWEE",
        "name_prefix": "Dr.",
        "credential": "PHD, LCSW",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-12",
        "last_updated": "2013-04-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "",
            "desc": "Counselor, Mental Health",
            "state": "MD",
            "license": "13955",
            "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 Apr 12, 2013; 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.