Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

Freestate Behavioral Health Associates LLC

Organization Clinical Social Worker · NPI 1487155776

Freestate Behavioral Health Associates LLC provides Clinical Social Worker services in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3455 Wilkens Ave Ste 301
Baltimore, MD 21229-5214
Phone: (443) 695-7851
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18559 (MD)

Record details

NPI number1487155776
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Dwight Polk — Owner · (443) 695-7851
NPI enumeratedFebruary 22, 2018
Last updated in NPPESFebruary 22, 2018
Mailing address3455 Wilkens Ave Ste 301, Baltimore, MD 21229-5214

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