HALCYON CLINICAL SERVICES, LLC (NPI# 1821594482) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821594482 |
| Entity Type | Organization |
| Organization Name | HALCYON CLINICAL SERVICES, LLC |
| Practice Address |
6304 Woodside Ct Ste 110g Columbia MD 21046 |
| Mailing Address |
6304 Woodside Ct Ste 110g Columbia MD 21046-3217 |
| Practice Telephone | 4437189085 |
| Mailing Telephone | 4437189085 |
| Enumeration Date | 2018-04-03 |
| Last Update Date | 2019-06-20 |
| Authorized Official Name | DR. ORLANDO WRIGHT (CEO) |
| Authorized Official Telephone | 4108554631 |
| Authorized Official Credential | PH.D., LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 405300000X | Prevention Professional | Other Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 257006800 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 10630 Little Patuxent Pkwy Ste 301, Columbia, MD 210446201 | 4108554631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821495391 | Halcyon Clinical Services, LLC | Counselor | 75 Charter Oak Ave, Hartford, CT 06106-1903 | 2014-11-29 |
| 1194385138 | Halcyon Clinical Services, LLC | Clinic/Center | 10630 Little Patuxent Pkwy, Columbia, MD 21044 | 2019-06-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Connecticut Business Registrations | HALCYON CLINICAL SERVICES, LLC | 20 Arrowbrook Rd, Windsor, CT 06095 |
| Street Address |
6304 WOODSIDE CT STE 110G |
| City | COLUMBIA |
| State | MD |
| Zip Code | 21046 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487783049 | Orlando Wright | Counselor | 6304 Woodside Ct Ste 110g, Columbia, MD 21046 | 2007-03-02 |
| 1316586688 | Montrell Pryor | Social Worker | 6304 Woodside Ct Ste 110g, Columbia, MD 21046-3217 | 2020-01-03 |
| 1639735806 | Sulivette Nater-hernandez | Psychologist | 6304 Woodside Ct Ste 110g, Columbia, MD 21046-3217 | 2019-05-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124628821 | Shadiat Ogunsakin | Behavior Technician | 7060 Samuel Morse Dr., Ste 100, Columbia, MD 21046 | 2020-10-30 |
| 1659983211 | Courtney Danielle Henderson | Behavior Technician | 10015 Old Columbia Road, Suite B215, Columbia, MD 21046 | 2020-08-17 |
| 1477116218 | Corporate Sourcing Solutions, Inc. | Nurse's Aide | 6700 Alexander Bell Dr., Suite 200, Columbia, MD 21046 | 2019-04-17 |
| 1497230973 | Quality Dme, Inc. | Durable Medical Equipment & Medical Supplies | 9175 Guilford Road, Suite 308, Columbia, MD 21046 | 2018-10-01 |
| 1649792698 | Sharon Londeree | Nurse Practitioner | 9710 Patuxent Woods Dr Ste 200, Columbia, MD 21046 | 2017-07-12 |
| 1043740624 | Katherine Green | Counselor | 6950 Columbia Gateway Drive, Columbia, MD 21046 | 2017-06-15 |
| 1710417548 | Karen Trageser | Registered Nurse | 7055 Samuel Morse Drive Suite 200, Columbia, MD 21046 | 2017-06-14 |
| 1396282745 | Emma Mayne | Technician, Other | 7175 Columbia Gateway Dr A, Columbia, MD 21046 | 2017-01-24 |
| 1861944795 | Ameris | Home Health | 6711 Columbia Gateway Drive, Suite 475, Columbia, MD 21046 | 2016-10-26 |
| 1073063426 | Chandni Bhatia | Counselor | 10005 Old Columbia Road (suite L260), Columbia, MD 21046 | 2016-10-10 |
| Find all providers in zip 21046 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| 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. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699396135 | Elana Patrice Bouldin | Social Worker | 5570 Sterrett Pl Ste 205, Columbia, MD 21044-2649 | 2020-05-06 |
| 1659992998 | Stacey Denise Mcphail | Social Worker | 5402 Magnolia Park Cir, Columbia, SC 29206-1164 | 2020-04-28 |
| 1205455912 | Jordan Desai | Social Worker | 826 Maple St, Columbia, SC 29205-1732 | 2020-04-13 |
| 1700413838 | Alexis Koreema Brown | Social Worker | 3205 Montcrest Rd., Columbia, SC 29210 | 2020-03-26 |
| 1740810183 | Shannon Jean Haynes | Social Worker | 755 Viola Ct, Columbia, SC 29229-7089 | 2020-01-24 |
| 1093345241 | Michael R. Williams | Social Worker | 304 Laurel Rise Ln, Columbia, SC 29229-7403 | 2020-01-16 |
| 1427697523 | Elizabeth Lynn Meritt | Social Worker | 7344 Eden Brook Dr Apt 928, Columbia, MD 21046-1288 | 2020-01-06 |
| 1134762735 | Scott Buis | Social Worker | 2120 E Business Loop 70, Columbia, MO 65201-5504 | 2019-10-26 |
| 1295378859 | Andrea Terese Rule | Social Worker | 210 W Sand Bank Rd Ste 14, Columbia, IL 62236-1044 | 2019-10-25 |
| 1710529144 | Christine M Lero | Social Worker | 1604 Pickard Way, Columbia, MO 65203-4722 | 2019-10-17 |
| Find all providers in COLUMBIA | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.