BALTIMORE COUNTY MARYLAND (NPI# 1174893259) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1174893259 |
| Entity Type | Organization |
| Organization Name | BALTIMORE COUNTY MARYLAND |
| Other Organization Name | DEPT OF HEALTH - LIBERTY RESOURCE CTR |
| Practice Address |
6401 York Rd 3rd Floor Baltimore MD 21212-2152 |
| Mailing Address |
6401 York Rd 3rd Floor Baltimore MD 21212-2130 |
| Practice Telephone | 4108872077 |
| Practice Fax Number | 4103779646 |
| Mailing Telephone | 4108872077 |
| Mailing Fax Number | 4103779646 |
| Enumeration Date | 2012-01-06 |
| Last Update Date | 2012-02-13 |
| Authorized Official Name | MR. DAVID C TAYLOR (PRIVACY OFFICER) |
| Authorized Official Telephone | 4108872077 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251K00000X | Public Health or Welfare | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 420937100 | 05 |
| Other Name | Type Code |
|---|---|
| Dept of Health - Liberty Resource Ctr | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356718886 | Baltimore County Maryland | Public Health or Welfare | 124 Tollgate Rd, Owings Mills, MD 21117-3350 | 2015-09-01 |
| 1518334978 | Baltimore County Maryland | Public Health or Welfare | 2600 Putty Hill Ave, Baltimore, MD 21234-4309 | 2015-09-01 |
| 1457784399 | Baltimore County Maryland | Clinic/Center | 1701 Delvale Ave, Baltimore, MD 21222-1235 | 2013-08-14 |
| 1902175722 | Baltimore County Maryland | Clinic/Center | 800 Middle River Rd, Middle River, MD 21220-2545 | 2011-12-22 |
| 1700334018 | Baltimore County Maryland | Community/Behavioral Health | 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 | 2016-09-15 |
| 1053681130 | Baltimore County Maryland | Clinic/Center | 2717 Playfield St, Baltimore, MD 21222-4500 | 2012-01-06 |
| 1134499213 | Baltimore County Maryland | Clinic/Center | 1000 S Marlyn Ave, Baltimore, MD 21221-5939 | 2012-01-06 |
| 1114297298 | Baltimore County Maryland | Clinic/Center | 8300 Carlson Ln, Windsor Mill, MD 21244-1309 | 2012-01-06 |
| 1023388105 | Baltimore County Maryland | Clinic/Center | 1801 Woodlawn Dr, Baltimore, MD 21207-4008 | 2012-01-06 |
| 1285904367 | Baltimore County Maryland | Public Health or Welfare | 12035 Reisterstown Rd, Reisterstown, MD 21136-3042 | 2012-01-06 |
| Street Address |
6401 YORK RD 3RD FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-2152 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1245238336 | Baltimore County, Maryland | Home Health | 6401 York Rd, Drumcastle Center 3rd Floor, Baltimore, MD 21212-2152 | 2005-07-12 |
| 1376140061 | Kevin Mathew Daniel | Social Worker | 6401 York Rd, Baltimore, MD 21212-2152 | 2020-10-06 |
| 1700334018 | Baltimore County Maryland | Community/Behavioral Health | 6401 York Rd, 3rd Floor, Baltimore, MD 21212-2152 | 2016-09-15 |
| 1508310079 | Kearen Benor Jabaji | Nurse Practitioner | 6401 York Rd, Baltimore, MD 21212-2152 | 2016-08-12 |
| 1457719122 | Wintre Thomas | Social Worker | 6401 York Rd, Baltimore, MD 21212-2152 | 2016-02-09 |
| 1801261219 | Cheryl Hudak | Registered Nurse | 6401 York Rd, Baltimore, MD 21212-2152 | 2015-12-10 |
| 1770957805 | Lauren Montenegro | Social Worker | 6401 York Rd, Baltimore, MD 21212-2152 | 2015-12-01 |
| 1942670823 | Allison Blakely | Nursing Care | 6401 York Rd, Baltimore, MD 21212-2152 | 2015-10-05 |
| 1053798199 | Carmen Patricia Born | Registered Nurse | 6401 York Rd, Third Floor, Baltimore, MD 21212-2152 | 2015-04-28 |
| 1881081149 | Eun Cho | Nurse Practitioner | 6401 York Rd, Baltimore, MD 21212-2152 | 2015-04-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 251K00000X |
| Grouping | Agencies |
| Classification | Public Health or Welfare |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467999334 | Baltimore City Health Department | Public Health or Welfare | 1515 W North Ave Fl 2, Baltimore, MD 21217-1735 | 2017-01-30 |
| 1518334978 | Baltimore County Maryland | Public Health or Welfare | 2600 Putty Hill Ave, Baltimore, MD 21234-4309 | 2015-09-01 |
| 1922234962 | Baltimore County Department of Health | Public Health or Welfare | 2717 Playfield St, Baltimore, MD 21222-4500 | 2009-06-04 |
| 1689891681 | Baltimore City Health Department | Public Health or Welfare | 1374 W. North Ave., Baltimore, MD 21217 | 2007-04-19 |
| 1427196955 | Assisted Rehab. Incorporated | Public Health or Welfare | 109 Woodbrook Ln, Baltimore, MD 21212-1035 | 2007-02-05 |
| 1780720854 | Baltimore County Department of Health | Public Health or Welfare | 3298 Kessler Rd, Baltimore, MD 21227-4743 | 2007-01-29 |
| 1033255104 | Baltimore County Department of Health | Public Health or Welfare | 1801 Woodlawn Dr, Baltimore, MD 21207-4008 | 2007-01-29 |
| 1316083488 | Baltimore County Department of Health | Public Health or Welfare | 2400 Lansdowne Rd, Baltimore, MD 21227-2019 | 2007-01-29 |
| 1215073382 | Baltimore County Department of Heatlh | Public Health or Welfare | 3800 Hollins Ferry Rd, Baltimore, MD 21227-2022 | 2007-01-29 |
| 1932255387 | Baltimore County Deparment of Health | Public Health or Welfare | 8300 Carlson Ln, Baltimore, MD 21244-1309 | 2007-01-26 |
| Find all providers in BALTIMORE | ||||
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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.