FREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC
NPI 1487155776
Social Worker - Clinical in Baltimore, MD

Active since February 22, 2018
3455 WILKENS AVE STE 301, BALTIMORE, MD 21229(443) 695-7851 Get Directions Write a Review

NPPES record last updated: February 22, 2018. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Freestate Behavioral Health Associates Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

FREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC (NPI 1487155776) is a healthcare organization registered as a clinical in Baltimore, Maryland and active in the NPI registry since February 2018. The organization lists Dwight A Polk, Owner, as its authorized official.

NPPES Registry Identity

NPI1487155776
Entity TypeOrganization
Primary Taxonomy1041C0700X
Legal Business NameFREESTATE BEHAVIORAL HEALTH ASSOCIATES LLC
Location Address3455 WILKENS AVE STE 301Baltimore, MD 21229-5214
Mailing Address3455 Wilkens Ave Ste 301Baltimore, MD 21229-5214 · (443) 695-7851
Organization SubpartNo
Authorized OfficialDwight A PolkOwner · (443) 695-7851
Enumeration DateFebruary 22, 2018
NPI 1487155776 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySocial Worker · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code1041C0700X
License Licensed in MD · 18559
Definition
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.
3455 WILKENS AVE STE 301, Baltimore, MD 21229

Other Identifiers 5

OtherCR20-0007MD · Carefirst Bcbs
Other338300MD · Jhhc Id #
Other6018524MD · Aetna Pin #
Other601222437MD · Magellan Id #
Other1356866768MD · Type 1 Individual Npi #

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 5

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Community/Behavioral Health
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229
Community/Behavioral Health
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229
Community/Behavioral Health
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229
Community/Behavioral Health
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229
Community/Behavioral Health
3455 WILKENS AVE STE 301
BALTIMORE, MD 21229

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Freestate Behavioral Health Associates LLC's NPI number?

The NPI number for Freestate Behavioral Health Associates LLC is 1487155776. It was assigned to this organization in the NPPES registry on February 22, 2018.

Where is Freestate Behavioral Health Associates LLC located?

Freestate Behavioral Health Associates LLC is located at 3455 Wilkens Ave Ste 301, Baltimore, MD 21229. The listed phone number is (443) 695-7851.

What is Freestate Behavioral Health Associates LLC's specialty?

The primary specialty registered for this NPI is Social Worker, specializing in Clinical, with taxonomy code 1041C0700X.

When was this NPI record last updated?

The NPPES record for Freestate Behavioral Health Associates LLC was last updated on February 22, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.