ADHD Diagnostics

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

Legal business name

ADHD DIAGNOSTICS

Practice address

360 Main St
Reisterstown, MD 21136-1919

Phone

(443) 650-3299

NPI assigned

May 18, 2022

Last updated

May 18, 2022By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Annette R Callahan, LCSW-CNPI 1104020874

Title

Owner

Phone

(410) 404-8661

Specialties & licenses 1

Addresses

Other identifiers 2

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Annette R Callahan, LCSWC

  • Clinical Social Worker
  • Timonium, MD
  • NPI 1104020874
  NPD Authorized official

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

{
    "created_epoch": "1652832000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1652832000000",
    "number": "1912644105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "360 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "360 MAIN ST",
            "city": "REISTERSTOWN",
            "state": "MD",
            "postal_code": "211361919",
            "telephone_number": "443-650-3299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ADHD DIAGNOSTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-18",
        "last_updated": "2022-05-18",
        "certification_date": "2022-05-18",
        "status": "A",
        "authorized_official_last_name": "CALLAHAN",
        "authorized_official_first_name": "ANNETTE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "410-404-8661",
        "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": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1104020874",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1790053197",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Monique Nicole Alexander

• Clinical Social Worker in Reisterstown, MD
• Providers in Reisterstown, 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 May 18, 2022; 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.