CANDICE RICHARDSON DICKENS NPI 1861617052

NPI Information

  • NPI: 1861617052
  • Provider Name: CANDICE RICHARDSON DICKENS
  • Classification: Counselor - 101YM0800X
  • Specialization: Mental Health
  • Entity Type: Organization
  • Doing Business As: CRA COUNSELING & CONSULTING AGENCY
  • Address: 5602 BALTIMORE NATIONAL PIKE
    307
    CATONSVILLE, MD
    ZIP 21228
  • Phone: (410) 744-4204

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NPI Details

CANDICE RICHARDSON DICKENS is a mental health counselor in Catonsville, MD. CANDICE RICHARDSON DICKENS NPI is 1861617052. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Cra Counseling & Consulting Agency.

The provider's business location address is:

5602 BALTIMORE NATIONAL PIKE
307
CATONSVILLE, MD
ZIP 21228-411
Phone: (410) 744-4204
Fax: (410) 744-4203

The provider's authorized official is Candice Richardson Dickens .
The authorized official title is Clinical Director and has the following contact phone number (410) 744-4204.

The enumeration date for this NPI number is 4/15/2007 and was last updated on 6/20/2008.

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
1101YA0400XCounselorAddiction (Substance Use Disorder)LCA214MARYLANDNo
2101YM0800XCounselorMental HealthPRC13709DISTRICT OF COLUMBIANo
3101YM0800XCounselorMental HealthLC0686MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
12137292MEDICARE UPIN
26895026 00MEDICAIDMARYLAND
3364643MEDICARE UPIN
47234685MEDICARE UPIN
52245173MEDICARE UPIN
63968280MEDICARE UPIN
7M543001MEDICARE UPIN
8474855MEDICARE UPIN
96902000000436CMEDICARE UPIN
10100086595001MEDICARE UPIN
11789109000MEDICARE UPIN

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

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