SOUTHERN MARYLAND COMMUNITY NETWORK INC (NPI# 1073800843) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1073800843 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COMMUNITY NETWORK INC |
| Practice Address |
2670 Crain Hwy Suite #505 Waldorf MD 20601-2806 |
| Mailing Address |
Po Box 998 Prince Frederick MD 20678-0998 |
| Practice Telephone | 3019329146 |
| Practice Fax Number | 3019329361 |
| Mailing Telephone | 4105354787 |
| Mailing Fax Number | 4105354965 |
| Enumeration Date | 2011-06-30 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | KAREN E CARLONI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105354787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 2578417 03 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922374651 | Southern Maryland Community Network Inc | Case Management | 2670 Crain Hwy, Suite 505, Waldorf, MD 20601-2806 | 2012-03-27 |
| 1942514518 | Southern Maryland Community Network Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St, Suite #5, Leonardtown, MD 20650-3814 | 2010-08-05 |
| Street Address |
2670 CRAIN HWY SUITE #505 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415832 | Linda Jefferson | Internal Medicine | 2670 Crain Hwy, Suite 410, Waldorf, MD 20601-2806 | 2005-08-26 |
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| 1487105979 | Pathways Inc | Counselor | 2670 Crain Hwy, Suite #409, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1205387792 | Pathways Inc | Community/Behavioral Health | 2670 Crain Hwy, #407, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1962955328 | Pathways, Inc | Community/Behavioral Health | 2670 Crain Hwy, Suite 407, Waldorf, MD 20601-2806 | 2016-08-02 |
| 1982084802 | Rhema Life Group LLC | Social Worker | 2670 Crain Hwy, Suite 206, Waldorf, MD 20601-2806 | 2015-06-05 |
| 1396171385 | Edner Charles | Nurse Practitioner | 2670 Crain Hwy, Waldorf, MD 20601-2806 | 2013-09-23 |
| 1033456900 | Cardiology Associates, LLC | Specialist | 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 | 2013-01-11 |
| 1154686533 | Pathways, Inc. | Community/Behavioral Health | 2670 Crain Hwy, Suite 409, Waldorf, MD 20601-2806 | 2012-07-11 |
| 1750645149 | Tina Lorice Penny | Physical Therapist | 2670 Crain Hwy, Waldorf, MD 20601-2806 | 2012-06-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| 1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.