Healthcare Provider Details

I. General information

NPI: 1881169498
Provider Name (Legal Business Name): BAIDEN & ASSOCIATES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2018
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8609 2ND AVE STE 404B
SILVER SPRING MD
20910-3374
US

IV. Provider business mailing address

8609 2ND AVE STE 404B
SILVER SPRING MD
20910-3374
US

V. Phone/Fax

Practice location:
  • Phone: 301-244-9126
  • Fax: 301-560-5992
Mailing address:
  • Phone: 301-244-9126
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. JONATHAN BAIDEN
Title or Position: PRESIDENT/ OWNER
Credential: LICSW, LCSW-C
Phone: 301-244-9126