Priya Hellstrom
Individual provider Active NPI Social Worker · Woodlawn, MD
NPI 1790359727 · NPPES record last updated May 14, 2021
Key facts
- NPI
- 1790359727
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 27047 (MD)
- Practice address
- 1825 Woodlawn Dr
Woodlawn, MD 21207-4080 - Phone
- (410) 401-1970
- NPI assigned
- May 14, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 27047 | MD | MD | Social Worker |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baltimore Detox Center LLC | Current |
Accepting new patients |
Locations
10019 Reisterstown Rd
Ste 3
Owings Mills, MD 21117
Phone (443) 450-9347
1825 Woodlawn Dr
Woodlawn, MD 21207
Phone (410) 401-1970
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 27047 | MD | Yes |
Addresses
Primary practice location
1825 Woodlawn Dr
Woodlawn, MD 21207-4080
Mailing address
10019 Reisterstown Rd FL 3
Owings Mills, MD 21117-3902
Other providers in Woodlawn, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 14, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.