Eating Disorders Center of Columbia Maryland

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

EATING DISORDERS CENTER OF COLUMBIA MARYLAND

Practice address

9192 Red Branch Rd
Suite 270
Columbia, MD 21045-2030

Phone

(410) 299-2272

NPI assigned

Nov 15, 2011

Organization subpart

No

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

Authorized official

Name

Andrew Walen

Title

Co-Owner

Phone

(410) 299-2272

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1321315200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1321315200000",
    "number": "1750668901",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9192 RED BRANCH RD",
            "address_2": "SUITE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452030"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9192 RED BRANCH RD",
            "address_2": "SUITE 270",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210452030",
            "telephone_number": "410-299-2272"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EATING DISORDERS CENTER OF COLUMBIA MARYLAND",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-11-15",
        "last_updated": "2011-11-15",
        "status": "A",
        "authorized_official_last_name": "WALEN",
        "authorized_official_first_name": "ANDREW",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "410-299-2272"
    },
    "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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• Gillian Early
• Tawanda Lashon Eason-Evans
• Ashley Eason, LCSWC
• Amy Lynn Eaton Bustillos, RN
• Stacy Eberling, RDH
• Abigail Lyn Eberman
• Mary Ellen Ebersole
• Rose Egbe Eboule, HHA

• 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 Nov 15, 2011; 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.