LOWER SHORE CLINIC, INC. (NPI# 1275858417) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275858417 |
| Entity Type | Organization |
| Organization Name | LOWER SHORE CLINIC, INC. |
| Other Organization Name | LOWER SHORE CLINIC MOBILE TREATMENT |
| Practice Address |
431 E Main St Salisbury MD 21804 |
| Mailing Address |
505 E Main St Salisbury MD 21804-5020 |
| Practice Telephone | 4103419696 |
| Mailing Telephone | 4103419696 |
| Mailing Fax Number | 4103419663 |
| Enumeration Date | 2010-03-31 |
| Last Update Date | 2019-09-25 |
| Authorized Official Name | KRISTINE GARTLITZ (CLINIC DIRECTOR) |
| Authorized Official Telephone | 4103413420 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | 4606 | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 419307500 | 05 |
| Other Name | Type Code |
|---|---|
| Lower Shore Clinic Mobile Treatment | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417424466 | Lower Shore Clinic, Inc. | Community/Behavioral Health | 828 Airpax Rd # 600b, Cambridge, MD 21613-6401 | 2018-10-29 |
| 1770716458 | Lower Shore Clinic, Inc. | Community/Behavioral Health | 120 Banjo Ln, Centreville, MD 21617-1002 | 2009-08-28 |
| 1154320646 | Lower Shore Clinic, Inc. | Clinic/Center | 505 E Main St, Salisbury, MD 21804 | 2005-07-18 |
| Street Address |
431 E MAIN ST |
| City | SALISBURY |
| State | MD |
| Zip Code | 21804 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134756794 | Oluwadara Osinubi | Nurse Practitioner | 431 E Main St, Salisbury, MD 21804-5018 | 2020-03-24 |
| 1730726712 | Go-getters, Inc. | Community/Behavioral Health | 431 E Main St, Salisbury, MD 21804-5018 | 2019-12-09 |
| 1225388101 | Go-getters, Inc. | Community/Behavioral Health | 431 E Main St, Salisbury, MD 21804-5010 | 2012-09-18 |
| 1508114497 | Go-getters, Inc. | Community/Behavioral Health | 431 E Main St, Salisbury, MD 21804-5010 | 2012-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1578125340 | Lifes Energy Wellness Center Inc. | Counselor | 2324 West Zion Road Suite 112, Suite 112, Salisbury, MD 21804 | 2019-07-02 |
| 1093377855 | Lifes Energy Wellness Center Inc. | Clinic/Center | 2324 West Zion Road Suite #112, Salisbury, MD 21804 | 2019-07-02 |
| 1356904874 | Carly Showell Finkbeiner | Behavioral Analyst | 30507 Foxchase Dr, Salisbury, MD 21804 | 2019-04-19 |
| 1750844940 | Clifton Waters | Driver | 206 Davis St, Salisbury, MD 21804 | 2019-04-13 |
| 1487125415 | Rebecca J. Raygor | Social Worker | Wicomico High School, 201 Long Ave., Salisbury, MD 21804 | 2018-12-17 |
| 1639662745 | Peninsula Physical Therapy, LLC | Physical Therapist | 720 E College Ave Ste 11, Salisbury, MD 21804 | 2018-06-13 |
| 1376079533 | Kerry Choplin | Behavior Technician | 8032 Snow Hill Rd., Salisbury, MD 21804 | 2017-05-10 |
| 1558892992 | Three Lower Counties Community Services, Inc. | Clinic/Center | 1647 Woodbrooke Drive, Salisbury, MD 21804 | 2017-03-27 |
| 1508304759 | Driven Physiotherapy, LLC | Clinic/Center | 1029 Zircon Ct., Salisbury, MD 21804 | 2017-02-08 |
| Find all providers in zip 21804 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720692833 | Tgh Phase 2 | Community/Behavioral Health | 1121 Old Concord Rd Ste 14, Salisbury, NC 28146-1473 | 2020-09-04 |
| 1326694217 | Ifcs of Maryland, Inc. A/k/a Institute for Family Centered Services, I | Community/Behavioral Health | 2326 Goddard Pkwy Ste D, Salisbury, MD 21801-1126 | 2019-08-15 |
| 1578125969 | Lifes Energy Wellness Center Inc. | Community/Behavioral Health | 2324 West Zion Road Suite, Suite 112, Salisbury, MD 21804 | 2019-07-05 |
| 1801392071 | Tgh Behavioral Health Services Inc. | Community/Behavioral Health | 4030 Woodleaf Rd, Salisbury, NC 28147-7771 | 2018-04-04 |
| 1336655547 | Focus Point Solutions LLC | Community/Behavioral Health | 803 N Salisbury Blvd Ste 2200, Salisbury, MD 21801-3657 | 2017-12-26 |
| 1447775804 | Monarch | Community/Behavioral Health | 2602 Stokes Ferry Rd, Salisbury, NC 28146-2211 | 2017-08-07 |
| 1750817912 | Mentor-maryland | Community/Behavioral Health | 620 West Naylor Mill Road, Suite A-f, Salisbury, MD 21801 | 2017-05-10 |
| 1316473556 | Go-getters, Inc. | Community/Behavioral Health | 108 E Lehigh Ave, Salisbury, MD 21801-4173 | 2017-05-09 |
| 1528594744 | Go-getters, Inc. | Community/Behavioral Health | 704 N. Division St., Salisbury, MD 21801 | 2017-05-09 |
| 1245781582 | Go-getters, Inc. | Community/Behavioral Health | 704 N. Division Street, Salisbury, MD 21801 | 2016-10-21 |
| Find all providers in SALISBURY | ||||
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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.