Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Mr. Ely Roman Peralta, LCSW-C, LICSW, LCSW

Individual provider Clinical Social Worker · NPI 1508524505

Mr. Ely Roman Peralta, LCSW-C, LICSW, LCSW is a Clinical Social Worker in Towson, Maryland. Licensed in District of Columbia, Maryland and Virginia. Registered with an NPI since 2021.

Licensed in
DC, MD, VA
In the registry since
2021
Specialties on file
3
What do these letters mean?
LICSW — Licensed Independent Clinical Social Worker
The title some states use for an independently practising clinical social worker.
LCSW — Licensed Clinical Social Worker
A social worker licensed to diagnose and treat mental health conditions independently.

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Practice location Address checks out

828 Dulaney Valley Rd Ste 11
Towson, MD 21204-2822
Phone: (410) 870-0490
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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 27223 (MD)
Clinical Social Worker Taxonomy 1041C0700X · Licence LC200003207 (DC)
Clinical Social Worker Taxonomy 1041C0700X · Licence 0904016495 (VA)

Record details

NPI number1508524505
Entity typeIndividual (Type 1)
GenderMale
Credentials LCSW-C , LICSW , LCSW
Sole proprietorNo
NPI enumeratedDecember 7, 2021
Last updated in NPPESSeptember 30, 2025
Certification dateSeptember 30, 2025

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