BACKPACK MEDICAL GROUP P.C. NPI 1851177570

NPI Details

BACKPACK MEDICAL GROUP, P.C. is a clinical social worker in Elkridge, 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. BACKPACK MEDICAL GROUP, P.C. NPI is 1851177570. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6655 SANTA BARBARA RD UNIT 8574
ELKRIDGE, MD
ZIP 21075-523
Phone: (866) 968-6342
Fax: (855) 615-2876

The provider's authorized official is Duke Ruktanonchai .
The authorized official title is President/owner and has the following contact phone number (630) 306-4394.

The enumeration date for this NPI number is 9/7/2023 and was last updated on 8/5/2025.

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: