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1538644240

NPI Code Detail

MEDICARE: MR. JONATHAN BAIDEN LCSW-C, LICSW

MEDICARE: MR. JONATHAN BAIDEN LCSW-C, LICSW

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	LC200002116	DC
2	1041C0700X	Clinical Social Worker	C016927	NC
3	1041C0700X	Clinical Social Worker	0904015656	VA
4	1041C0700X	Clinical Social Worker	24243	MD

General Provider Information

NPI Number	:	1538644240
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. JONATHAN BAIDEN LCSW-C, LICSW

Provider Business Mailing Address
First Line	:	12530 FAIRWOOD PKWY STE 102 #317
Second Line	:
City	:	BOWIE
State	:	MD
Zip	:	20720-5756
Country	:	US
Telephone Number	:	301-244-9126
Fax Number	:

Provider Business Practice Location Address
First Line	:	8609 2ND AVE STE 404B
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3374
Country	:	US
Telephone Number	:	301-244-9126
Fax Number	:	301-560-5992

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/27/2018
Last Update Date	:	01/09/2025

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Directions to “ MR. JONATHAN BAIDEN LCSW-C, LICSW” Practice Location

Language	Start Address	Practice Location

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