Organization Active NPI

Halcyon Clinical Services, LLC

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1821594482
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
HALCYON CLINICAL SERVICES, LLC
Practice address
7135 Minstrel Way Ste 204
Columbia, MD 21045-5294
Phone
(410) 855-4631
NPI assigned
Apr 3, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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

Authorized official

Name
Dr. Orlando Wright, PH.D., LCSW-C
Title
Ceo
Phone
(410) 855-4631

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Addiction (Substance Use Disorder) CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YA0400X
Mental Health CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YM0800X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary
Prevention ProfessionalGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 405300000X

Addresses

Primary practice location

7135 Minstrel Way Ste 204
Columbia, MD 21045-5294

Mailing address

7135 Minstrel Way Ste 204
Columbia, MD 21045-5294
Phone (410) 855-4631

Other identifiers 1

IdentifierTypeStateIssuer
257006800MedicaidMD

National Provider Directory

National Provider Directory

Locations

6304 Woodside Ct
Ste 110G
Columbia, MD 21046
Phone (410) 855-4631

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1522713600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675209600000",
    "number": "1821594482",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7135 MINSTREL WAY STE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455294",
            "telephone_number": "410-855-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7135 MINSTREL WAY STE 204",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210455294",
            "telephone_number": "410-855-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALCYON CLINICAL SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-04-03",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A",
        "authorized_official_last_name": "WRIGHT",
        "authorized_official_first_name": "ORLANDO",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "410-855-4631",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D., LCSW-C"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YM0800X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "405300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Prevention Professional",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "257006800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.