LOWER SHORE CLINIC, INC.


Address: 828 Airpax Rd # 600b, Cambridge, MD 21613-6401
Phone: 4434932429

LOWER SHORE CLINIC, INC. (NPI# 1417424466) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1417424466
Entity Type Organization
Organization Name LOWER SHORE CLINIC, INC.
Practice Address 828 Airpax Rd # 600b
Cambridge
MD 21613-6401
Mailing Address 716 N Division St
Salisbury
MD 21801-4156
Practice Telephone 4434932429
Mailing Telephone 4105467750
Mailing Fax Number 4105467784
Enumeration Date 2018-10-29
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 Y
Parent Organization Name LOWER SHORE CLINIC, INC.

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 251S00000X Community/Behavioral Health Agencies

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1275858417 Lower Shore Clinic, Inc. Community/Behavioral Health 431 E Main St, Salisbury, MD 21804 2010-03-31
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

Office Location

Street Address 828 AIRPAX RD # 600B
City CAMBRIDGE
State MD
Zip Code 21613-6401

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Taxonomy Information

Taxonomy Code 251S00000X
Grouping Agencies
Classification Community/Behavioral Health

Taxonomy Definition

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]

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NPI Name Taxonomy Address Enumeration
1043837990 Nancy Villa Community/Behavioral Health 10 Concord Tpke, Cambridge, MA 02140 2020-06-26
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1225426463 Harvesting Hope,llc Community/Behavioral Health 204 Cedar St # 102, Cambridge, MD 21613-2395 2014-12-22
1821420274 Massachusetts Alliance for Portuguese Speakers Community/Behavioral Health 1046 Cambridge St, Cambridge, MA 02139-1407 2013-08-07
1063779460 Cedar Ridge Behavioral Health Solutions LLC Community/Behavioral Health 841 Steubenville Ave, Cambridge, OH 43725-2301 2012-04-23
1679844526 Southeastern Ohio Counseling Center, LLC. Community/Behavioral Health 5494 High Hill Rd, Cambridge, OH 43725-8640 2012-01-24
1982906186 Shore Resolutions LLC Community/Behavioral Health 211 High St., Cambridge, MD 21613-1816 2010-11-22
1346569134 Crossroads Community, Inc. Community/Behavioral Health 404 Lecompte St, Cambridge, MD 21613-2437 2010-05-19
1356668818 Baycove Human Services Community/Behavioral Health 16 Walden Square Rd, Apt. 412, Cambridge, MA 02140-3406 2010-04-23
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Competitor

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City CAMBRIDGE
Zip Code 21613

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Dataset Information

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.

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