JOHN TIBBITTS SLOCOMB (NPI# 1164678918) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164678918 |
| Entity Type | Individual |
| Full Name | JOHN TIBBITTS SLOCOMB |
| Other Name | JACK SLOCOMB |
| Practice Address |
134 Baltimore St Cumberland MD 21502-2302 |
| Practice Telephone | 3017770620 |
| Practice Fax Number | 3017772906 |
| Mailing Telephone | 3017770620 |
| Mailing Fax Number | 3017772906 |
| Enumeration Date | 2008-08-12 |
| Last Update Date | 2008-08-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
04526 | MD | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
04256 | MD | Behavioral Health & Social Service Providers |
| Street Address |
134 BALTIMORE ST |
| City | CUMBERLAND |
| State | MD |
| Zip Code | 21502-2302 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891792461 | Robert Lynn | Psychiatry & Neurology | 134 Baltimore St, Cumberland, MD 21502-2302 | 2005-06-28 |
| 1306187752 | Potomac Regional Tms Center, Inc | Psychiatry & Neurology | 134 Baltimore St, Cumberland, MD 21502-2302 | 2013-03-11 |
| 1912207879 | Willaim Matthew Taylor | Social Worker | 134 Baltimore St, Cumberland, MD 21502-2302 | 2010-10-26 |
| 1154639680 | Lois Ann Green | Social Worker | 134 Baltimore St, Cumberland, MD 21502-2302 | 2010-09-17 |
| 1710215462 | Tom Ray Butler | Social Worker | 134 Baltimore St, Cumberland, MD 21502-2302 | 2009-11-18 |
| 1174759450 | Theresa L Marth | Counselor | 134 Baltimore St, Gaia Holistic Counseling Services, LLC, Cumberland, MD 21502-2302 | 2009-06-01 |
| 1184873622 | Trina Paris Redmond-matz | Psychologist | 134 Baltimore St, Cumberland, MD 21502-2302 | 2008-09-09 |
| 1295909307 | Gaia Holistic Counseling Services LLC | Social Worker | 134 Baltimore St, Cumberland, MD 21502 | 2008-04-18 |
| 1366615155 | Diana Johnson Amann | Social Worker | 134 Baltimore St, Cumberland, MD 21502-2302 | 2008-04-11 |
| 1215118476 | Celtic Enterprises, L.L.C. | Psychiatry & Neurology | 134 Baltimore St, Cumberland, MD 21502-2302 | 2007-11-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174141592 | Upmc Western Maryland Corporation | Clinic/Center | 10700 Leslie Lane, Cumberland, MD 21502 | 2020-07-13 |
| 1669934212 | Ultimate Hearing Solutions Vi, LLC | Durable Medical Equipment & Medical Supplies | 701 Park Street, Queen City Centre, Cumberland, MD 21502 | 2019-04-03 |
| 1114497070 | Dianne Liller | Speech-Language Pathologist | 200 Massachusetts Ave, Cumberland, MD 21502 | 2018-12-04 |
| 1386111409 | Rebecca Anne Stewart | Counselor | 217 Glenn Street, Suite 401, Cumberland, MD 21502 | 2018-10-26 |
| 1396222998 | Crystal Lynne Walls | Nurse Practitioner | Western Maryland Health System, 12500 Willowbrook Rd, Cumberland, MD 21502 | 2018-07-26 |
| 1841796554 | Joan Kathleen Hoban | Speech-Language Pathologist | Potomac Behavioral and Occupational Therapy, 240 Henderson Ave., Cumberland, MD 21502 | 2018-04-02 |
| 1760984447 | Christine T. Haines | Social Worker | 907 Seton Drive, Cumberland, MD 21502 | 2018-03-08 |
| 1033632328 | Nicole Mabury | Counselor | 12501 Willowbrook Road, Cumberland, MD 21502 | 2017-07-19 |
| 1073042479 | The Lions Center for Rehabilitation and Extended Care, Inc. | Skilled Nursing Facility | 901 Seton Drive, Cumberland, MD 21502 | 2017-06-08 |
| 1912446816 | Marina Hurst | Counselor | 10102 County Club Road Se, Cumberland, MD 21502 | 2017-02-13 |
| Find all providers in zip 21502 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679198667 | Outreach Recovery II, LLC | Counselor | 72 Greene St Ste 104, Cumberland, MD 21502-2933 | 2020-06-15 |
| 1699235143 | Katie Barnard | Counselor | 217 Glenn St Ste 401, Cumberland, MD 21502-2560 | 2019-03-21 |
| 1295231728 | Stasia Dompkowski Mann | Counselor | 15 Martin St, Cumberland, RI 02864-5361 | 2018-04-03 |
| 1902289275 | Marcy Liane Childs | Counselor | 14508 Mcmullen Hwy Sw Ste B, Cumberland, MD 21502-5647 | 2015-07-06 |
| 1316228638 | Blythe C. Gould | Counselor | 2145 Diamond Hill Rd, Suite A, Cumberland, RI 02864-5135 | 2011-08-31 |
| 1720374424 | Elvira J Demarco | Counselor | 247 Little Pond County Rd, Cumberland, RI 02864-2800 | 2011-06-22 |
| 1548592496 | Joan Proietti | Counselor | 507 Henderson Avenue, Cumberland, MD 21502-7356 | 2010-02-03 |
| 1568795680 | Shawn S Smith | Counselor | 111 S George St Ste 3, Cumberland, MD 21502-3039 | 2009-09-08 |
| 1639336456 | Mary Aleta Williams | Counselor | 32 Oak St, Cumberland, MD 21502 | 2008-05-20 |
| 1427225473 | Laura M Wilson | Counselor | 14508 Mcmullen Hwy Sw, Suite B, Cumberland, MD 21502-5647 | 2008-05-09 |
| Find all providers in CUMBERLAND | ||||
| City | CUMBERLAND |
| Zip Code | 21502 |
Please comment or provide details below to improve the information on JOHN TIBBITTS SLOCOMB.
| 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.