MRS. THERESA MARLENE RIDLEY (NPI# 1447474366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1447474366 |
| Entity Type | Individual |
| Full Name | MRS. THERESA MARLENE RIDLEY |
| Credential | LCSWC |
| Practice Address |
5602 Baltimore National Pike Baltimore MD 21228 |
| Mailing Address |
526 Gwynnwest Road Reiserstown MD 21136 |
| Practice Telephone | 4437224055 |
| Practice Fax Number | 4107443326 |
| Mailing Telephone | 4437224055 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
L12650 | MD | Behavioral Health & Social Service Providers |
| Street Address |
5602 BALTIMORE NATIONAL PIKE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21228 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992771265 | Delhi Thweatt Jr. | Specialist | 5602 Baltimore National Pike, 300, Baltimore, MD 21228-1411 | 2006-02-27 |
| 1184031676 | Jena Raymond | Counselor | 5602 Baltimore National Pike, Suite 302b, Baltimore, MD 21228-1411 | 2014-07-16 |
| 1184983637 | Phoenix Therapeutic Foundation, Inc | Counselor | 5602 Baltimore National Pike, Suite 700, Baltimore, MD 21228-1411 | 2012-05-03 |
| 1366769184 | Klc Pharmacy | Pharmacy | 5602 Baltimore National Pike, Ste 100, Baltimore, MD 21228-1411 | 2010-05-03 |
| 1235304189 | Thomas M Burggman | Counselor | 5602 Baltimore National Pike, Suite 508, Baltimore, MD 21228-1411 | 2008-04-22 |
| 1992979025 | Heather N Chapman | Social Worker | 5602 Baltimore National Pike, Suite 508, Baltimore, MD 21228-1411 | 2008-04-18 |
| 1336333079 | Phoenix Therapeutic Foundation | Community/Behavioral Health | 5602 Baltimore National Pike, Suburbia Bldg - Suite # 508/6, Baltimore, MD 21228-1411 | 2007-09-05 |
| 1073713970 | Anthony Alberto Campbell | Social Worker | 5602 Baltimore National Pike, Suite # 506, Baltimore, MD 21228-1411 | 2007-07-19 |
| 1023218997 | Delores Ann Mack | Social Worker | 5602 Baltimore National Pike, Suit # 506, Baltimore, MD 21228-1411 | 2007-07-19 |
| 1265554315 | Horace Greely Ward Jr. | Obstetrics & Gynecology | 5602 Baltimore National Pike, Suite 600, Baltimore, MD 21228-1411 | 2007-04-06 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
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| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
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| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.