Individual provider · Type 1 NPI

Theresa Marlene Ridley, LCSWC

Clinical Social Worker · Baltimore, MD

NPI number 1447474366 Active

Practice location

5602 Baltimore National Pike
Baltimore, MD 21228

Call (443) 722-4055 Map

Fax (410) 744-3326

Mailing address

526 Gwynnwest Road
Reiserstown, MD 21136

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700XL12650 (MD)

Clinical Social Worker: 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 interpers…

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About NPI 1447474366

Theresa Marlene Ridley, LCSWC's National Provider Identifier is 1447474366, issued on Apr 12, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jul 8, 2007.