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IVY PRIDGEN
NPI 1548670870
Counselor - Addiction (Substance Use Disorder) in Baltimore, MD

Active since May 08, 2014
1111 WASHINGTON BLVD, BALTIMORE, MD 21230(410) 467-6040(410) 783-0569 Get Directions Write a Review

NPPES record last updated: May 8, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Ivy Pridgen NPPES

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

IVY PRIDGEN (NPI 1548670870) is an individual addiction (substance use disorder) provider in Baltimore, Maryland, licensed in Maryland (SC1867) and active in the NPI registry since May 2014.

NPPES Registry Identity

NPI1548670870
Entity TypeIndividualFemale
Primary Taxonomy101YA0400X
Provider Legal NameIVY PRIDGEN
Location Address1111 WASHINGTON BLVDBaltimore, MD 21230-1824
Mailing AddressPo Box 33109Baltimore, MD 21218-0401 · (410) 467-6040 · Fax (410) 235-8807
Phone(410) 467-6040
Fax(410) 783-0569
Sole ProprietorNo
Enumeration DateMay 8, 2014
✔ NPI 1548670870 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCounselor · Addiction (Substance Use Disorder)Behavioral Health & Social Service Providers
Taxonomy Code101YA0400X
License✔ Licensed in MD · SC1867
1111 WASHINGTON BLVD, Baltimore, MD 21230
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Other Providers at the Same Location NPPES 13

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

TOTAL HEALTH CARE INC
Pharmacy (Community/Retail Pharmacy)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 735-5401
PEOPLES COMMUNITY HEALTH CENTER, INC.
Clinic/Center (Federally Qualified Health Center (FQHC))
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 467-6040
TOTAL HEALTH CARE INC
Clinic/Center (Community Health)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 383-8300
NANCY SAMANTHA WAXMAN FNP-BC
Nurse Practitioner (Family)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 467-6040
TOTAL HEALTH CARE INC
Clinic/Center (Dental)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 383-8300
MR. CORDELL DRUMMOND LCSW-C
Social Worker (Clinical)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 383-8300
DR. SAMUEL LEVITICUS WILLIAMS III MD
Psychiatry & Neurology (Psychiatry)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 383-8300
NEISHA-ANN THOMPSON
Counselor (Mental Health)
1111 WASHINGTON BLVD
BALTIMORE, MD 21230
Baltimore City (410) 383-8300

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 Ivy Pridgen's NPI number?

The NPI number for Ivy Pridgen is 1548670870. It was assigned to this individual provider in the NPPES registry on May 8, 2014.

Where is Ivy Pridgen located?

Ivy Pridgen practices at 1111 Washington Blvd, Baltimore, MD 21230. The listed phone number is (410) 467-6040.

What is Ivy Pridgen's specialty?

The primary specialty registered for this NPI is Counselor, specializing in Addiction (Substance Use Disorder), with taxonomy code 101YA0400X.

When was this NPI record last updated?

The NPPES record for Ivy Pridgen was last updated on May 8, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.