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THE BODY IMAGE THERAPY CENTER LLC NPI 1609163450


NPI Information

NPI: 1609163450
Provider Name: THE BODY IMAGE THERAPY CENTER LLC
Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
8940 OLD ANNAPOLIS RD
SUITE E
COLUMBIA, MD
ZIP 21045
Phone: (443) 602-6515
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THE BODY IMAGE THERAPY CENTER LLC is a clinical social worker in Columbia, MD. The provider is 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. THE BODY IMAGE THERAPY CENTER LLC NPI is 1609163450. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

8940 OLD ANNAPOLIS RD
SUITE E
COLUMBIA, MD
ZIP 21045-129
Phone: (443) 602-6515
Fax: (443) 546-1100

The provider's authorized official is Andrew Walen .
The authorized official title is Owner, Executive Director and has the following contact phone number (443) 602-6515.

The enumeration date for this NPI number is 6/30/2011 and was last updated on 6/30/2011.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YP2500XCounselorProfessionalLC3911MARYLANDNo
21041C0700XSocial WorkerClinical15245MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

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