Active NPI
Stable Minds LLC
- Clinical Social Worker
- Glen Arm, MD
National Provider Identifier
1831983402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- Legal business name
- STABLE MINDS LLC
- Practice address
- 11212 Glen Arm Rd
Glen Arm, MD 21057-9425 - Phone
- (410) 540-5464
- NPI assigned
- Apr 8, 2025
- Organization subpart
- Yes
- Parent organization
- STABLE MINDS LLC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Chelsea Marshall, LCSW-C
- Title
- Owner
- Phone
- (410) 967-7973
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | Primary |
Addresses
Primary practice location
11212 Glen Arm Rd
Glen Arm, MD 21057-9425
Mailing address
11212 Glen Arm Rd
Glen Arm, MD 21057-9425
Phone (410) 540-5464
Other names 1
- Stable Minds
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MD
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20251003000841 | MD | Part B Supplier - Clinic/Group Practice | 7113423542 |
Receives reassigned benefits from 1 practitioner Practice locations: Glen Arm, MD |
National Provider Directory
National Provider Directory- Part of
- Stable Minds LLC
Practitioners & affiliated clinicians
Practitioners 1
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": "1744070400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1744070400000",
"number": "1831983402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "11212 GLEN ARM RD",
"city": "GLEN ARM",
"state": "MD",
"postal_code": "210579425",
"telephone_number": "410-540-5464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11212 GLEN ARM RD",
"city": "GLEN ARM",
"state": "MD",
"postal_code": "210579425",
"telephone_number": "410-540-5464"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STABLE MINDS LLC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "STABLE MINDS LLC",
"enumeration_date": "2025-04-08",
"last_updated": "2025-04-08",
"certification_date": "2025-04-08",
"status": "A",
"authorized_official_last_name": "MARSHALL",
"authorized_official_first_name": "CHELSEA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "410-967-7973",
"authorized_official_credential": "LCSW-C"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Stable Minds",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Glen Arm, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.