Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Active 360 Therapy

Organization Social Worker · NPI 1174349575

Active 360 Therapy is a Social Worker in Baltimore, Maryland. Works from 2 locations. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
6

Practice location Address checks out

6212 York Rd
Baltimore, MD 21212-2612
Phone: (301) 776-8103
Fax: (410) 755-7797
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 7060 Oakland Mills Rd Ste Lm&N, Columbia, MD 21046-1694 — (301) 776-8103

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X
Social Worker Taxonomy 104100000X
Home Health Registered Nurse Taxonomy 163WH0200X
Occupational Therapist Taxonomy 225X00000X
Speech-Language Pathologist Taxonomy 235Z00000X
Home Health Agency Taxonomy 251E00000X

Record details

NPI number1174349575
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Calista Chana — Ceo · (301) 776-8103
NPI enumeratedDecember 2, 2024
Last updated in NPPESOctober 10, 2025
Certification dateOctober 10, 2025
Mailing address6801 Oak Hall Ln Unit 6462, Columbia, MD 21045-7587

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