Supportive Therapeutic Solutions

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

SUPPORTIVE THERAPEUTIC SOLUTIONS

Practice address

1215 Walters Ave
Baltimore, MD 21239-2827

Phone

(443) 522-5689

NPI assigned

Feb 11, 2021

Organization subpart

No

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

Authorized official

Name

Mrs. Ashley Fadiora, LCSW-C

Title

Clinician

Phone

(443) 522-5689

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

{
    "created_epoch": "1613001600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1613001600000",
    "number": "1851984736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1215 WALTERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392827",
            "telephone_number": "443-522-5689"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1215 WALTERS AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212392827",
            "telephone_number": "443-522-5689"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUPPORTIVE THERAPEUTIC SOLUTIONS",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-02-11",
        "last_updated": "2021-02-11",
        "certification_date": "2021-02-11",
        "status": "A",
        "authorized_official_last_name": "FADIORA",
        "authorized_official_first_name": "ASHLEY",
        "authorized_official_title_or_position": "CLINICIAN",
        "authorized_official_telephone_number": "443-522-5689",
        "authorized_official_name_prefix": "Mrs.",
        "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": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "stsolutionsmd@gmail.com",
            "affiliation": "N",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "email",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "email",
            "address_1": "1215 Walters Ave",
            "city": "Baltimore",
            "state": "MD",
            "country_code": "US",
            "postal_code": "212392827",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Supportivie Thriving Altruistic Reliable Living LLC
• Supreme Surgical Associates Inc
• Samir Sur, M.D.
• Delwin Suraj
• Maryam Shafiah Suraleigh

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Feb 11, 2021; 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.