CHANNEL MARKER, INC (NPI# 1366007577) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366007577 |
| Entity Type | Organization |
| Organization Name | CHANNEL MARKER, INC |
| Practice Address |
613 S 5th Ave Denton MD 21629-1485 |
| Mailing Address |
8865 Glebe Park Dr Unit 1 Easton MD 21601-7069 |
| Practice Telephone | 4108224619 |
| Mailing Telephone | 4108224619 |
| Enumeration Date | 2019-05-02 |
| Last Update Date | 2019-05-02 |
| Authorized Official Name | CATHERINE BARWICK CASSELL (PROGRAM DIRECTOR) |
| Authorized Official Telephone | 4108224619 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487832929 | Channel Marker, Inc | Community/Behavioral Health | 508 Kerr Ave, Denton, MD 21629-1343 | 2008-02-07 |
| 1104004647 | Channel Marker, Inc | Community/Behavioral Health | 420 Dorchester Ave, Cambridge, MD 21613-2446 | 2008-02-07 |
| 1679024616 | Channel Marker, Inc | Community/Behavioral Health | 508 Kerr Ave, Denton, MD 21629-1343 | 2016-10-14 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CHANNEL MARKER, INC. | 8865 Glebe Park Dr, Easton, MD 21601-7003 |
| Street Address |
613 S 5TH AVE |
| City | DENTON |
| State | MD |
| Zip Code | 21629-1485 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518423060 | Marilyn Serino | Social Worker | 207 South 7th Street, Denton, MD 21629 | 2019-02-20 |
| 1699246421 | Jody Lynn Wagner | Speech-Language Pathologist | 204 Market Street, Denton, MD 21629 | 2018-12-05 |
| 1487136404 | Thomas J. Yoder | Physical Therapist | 103 South 7th Street, Denton, MD 21629 | 2018-09-06 |
| 1821512773 | Walgreen Co | Durable Medical Equipment & Medical Supplies | 21 Denton Plz, Denton, MD 21629 | 2017-08-02 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1598219156 | Deanna Mcmullen | Physical Therapist | 1140 Blades Farm Rd Ste 201, Denton, MD 21629 | 2016-08-11 |
| 1538574314 | Medha Satyarengga | Internal Medicine | 1140 Blades Farm Rd Ste 101, Denton, MD 21629 | 2014-06-30 |
| 1104147586 | Kimberly Schall | Physical Therapist | 103 S. 7th Steet, Denton, MD 21629 | 2010-06-19 |
| 1891926978 | Choptank Community Health System, Inc. | Clinic/Center | 401 Lockerman St, Denton, MD 21629 | 2009-08-06 |
| 1285896951 | Carolyn F. Witt | Social Worker | 606 Sunnyside St., Denton, MD 21629 | 2008-06-25 |
| Find all providers in zip 21629 | ||||
| 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 |
|---|---|---|---|---|
| 1326513813 | Lamesha Collette Wilson | Community/Behavioral Health | 201 Red Fox Ln, Denton, TX 76210-1532 | 2018-10-10 |
| 1548708803 | Board of Child Care of The Umc Inc | Community/Behavioral Health | 27993 Substation Rd, Denton, MD 21629 | 2017-02-07 |
| 1306395744 | Arabian Rescue Therapy | Community/Behavioral Health | 2321 Westview Trl, Denton, TX 76207-1652 | 2016-09-27 |
| 1174865505 | Christie Nechole Govan | Community/Behavioral Health | 701 Hettie St, Denton, TX 76209-4511 | 2013-03-24 |
| 1003192923 | Amber Kuntz Lpcs | Community/Behavioral Health | 608 North Bell, Suite A, Denton, TX 76209 | 2011-10-24 |
| 1326379868 | Fresh Perspectives Counseling | Community/Behavioral Health | 501 S Carroll Blvd Ste 122, Denton, TX 76201-7423 | 2010-01-22 |
| 1568797686 | Kdz Enterprises Inc | Community/Behavioral Health | 1807 N Elm St, Denton, TX 76201-3023 | 2009-10-07 |
| 1326292087 | Cumberland Presbyterian Children's Home | Community/Behavioral Health | 1304 Bernard St., Denton, TX 76202 | 2008-11-07 |
| 1487832929 | Channel Marker, Inc | Community/Behavioral Health | 508 Kerr Ave, Denton, MD 21629-1343 | 2008-02-07 |
| 1043304298 | Advocate Alliance of Texas, L.L.C. | Community/Behavioral Health | 109 S Woodrow Ln Ste 500, Denton, TX 76205-6301 | 2006-10-03 |
| Find all providers in DENTON | ||||
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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.