SIERRA WALDEN INC (NPI# 1295172807) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295172807 |
| Entity Type | Organization |
| Organization Name | SIERRA WALDEN INC |
| Practice Address |
305 Prince Frederick Blvd Prince Frederick MD 20678-3139 |
| Mailing Address |
30007 Business Center Dr Charlotte Hall MD 20622-3101 |
| Practice Telephone | 3019971300 |
| Practice Fax Number | 3018634744 |
| Mailing Telephone | 3019971300 |
| Mailing Fax Number | 3018634744 |
| Enumeration Date | 2013-05-23 |
| Last Update Date | 2013-05-23 |
| Authorized Official Name | CHARLES WOOD (C.F.O.) |
| Authorized Official Telephone | 3019971300 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers |
| Street Address |
305 PRINCE FREDERICK BLVD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168534 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2017-04-13 |
| 1013469832 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2016-10-27 |
| 1184044943 | Karen E Carloni | Counselor | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-04-21 |
| 1932525300 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-03-10 |
| 1881026409 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2013-08-06 |
| 1881988400 | Diane Saccoccio | Social Worker | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2011-05-31 |
| 1922325398 | Southern Maryland Community Network, Inc. | Case Management | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2010-04-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1306210638 | Dwi Services, Inc | Counselor | 125 Fairground Rd, Prince Frederick, MD 20678-4167 | 2015-11-24 |
| 1760863534 | Matthew Brent Schatz | Counselor | 308 Highland Terr., Prince Frederick, MD 20638 | 2015-06-17 |
| 1073803946 | Terri Lisa Gunkel | Counselor | 975 Solomons Island Road N, Prince Frederick, MD 20678-0980 | 2011-04-13 |
| 1689878936 | Denise Michelle Dickerson | Counselor | 975 Solomons Island Rd, N, Prince Frederick, MD 20678-0980 | 2007-06-12 |
| 1669676987 | Claudia J Bryant | Counselor | 975 Solomons Island Road, N, Prince Frederick, MD 20678-0980 | 2007-06-12 |
| 1609924877 | Courage To Change of Southern Maryland | Counselor | 96 Armory Rd, Suite 102, Prince Frederick, MD 20678-4117 | 2007-01-06 |
| 1679515910 | Wendy Yowell | Counselor | 280 Stafford Rd, Prince Frederick, MD 20678-3582 | 2006-06-12 |
| 1861010514 | Kimberlee Lorraine Burrill | Counselor | 69 Sherry Ln, Prince Frederick, MD 20678-3231 | 2020-07-09 |
| 1952937310 | Tammy Lynn Lambert | Counselor | 69 Sherry Ln, Prince Frederick, MD 20678-3231 | 2020-03-18 |
| Find all providers in PRINCE FREDERICK | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
Please comment or provide details below to improve the information on SIERRA WALDEN INC.
| 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.