Individual provider Active NPI

Ardith Allison, LCSW-C

  • Clinical Social Worker
  • Owings Mills, MD
National Provider Identifier
1750123808
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
21971 Issued in MD
Practice address
110 Painters Mill Rd
Owings Mills, MD 21117-4920
Phone
(443) 657-7952
NPI assigned
Jun 10, 2024
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 10, 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 21971 MD Primary

Addresses

Primary practice location

110 Painters Mill Rd
Owings Mills, MD 21117-4920

Mailing address

110 Painters Mill Rd
Owings Mills, MD 21117-4920
Phone (410) 300-6396

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
21971MDMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Productive Lives Mental Health CurrentSince Aug 1, 2024 Accepting new patients
Productive Lives Mental Health Services Current Accepting new patients

Locations

110 Painters Mill Rd
Ste 310
Owings Mills, MD 21117
Phone (443) 657-7952

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1750123808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "410-300-6396"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 PAINTERS MILL RD",
            "city": "OWINGS MILLS",
            "state": "MD",
            "postal_code": "211174920",
            "telephone_number": "443-657-7952"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALLISON",
        "first_name": "ARDITH",
        "credential": "LCSW-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "21971",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Owings Mills, MD

Sources for this page

Verify at the official NPI Registry.