RAVON ANDERSON LCSWC NPI 1104691641

NPI Information

  • NPI: 1104691641
  • Provider Name: RAVON ANDERSON, LCSWC
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Individual
  • Address: 4304 FERNHILL AVE
    BALTIMORE, MD
    ZIP 21215
  • Phone: (443) 527-2399

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NPI Details

Ravon Anderson, LCSWC is a mental health counselor in Baltimore, MD. Ravon Anderson, LCSWC NPI is 1104691641. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

4304 FERNHILL AVE
BALTIMORE, MD
ZIP 21215-830
Phone: (443) 527-2399

The enumeration date for this NPI number is 11/15/2023 and was last updated on 11/15/2023.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1101YM0800XCounselorMental Health23288MARYLANDYes

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: 11/21/2025

NPI Synchronization or Removal

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