CHANELLE REDDRICK (NPI# 1457867012) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1457867012 |
Entity Type | Individual |
Full Name | CHANELLE REDDRICK |
Credential | LGSW |
Practice Address |
5702 Sargent Rd Chillum MD 20782-2321 |
Practice Telephone | 3018537370 |
Enumeration Date | 2017-12-19 |
Last Update Date | 2017-12-19 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 1041S0200X |
Social Worker Specialization: School |
23407 | MD | Behavioral Health & Social Service Providers |
Street Address |
5702 SARGENT RD |
City | CHILLUM |
State | MD |
Zip Code | 20782-2321 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1598377848 | Keilettia Michelle Alford | Speech-Language Pathologist | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2020-08-18 |
1679184584 | Lindsey Comer | Social Worker | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2020-08-13 |
1669034799 | Holly Brown | Occupational Therapist | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2019-06-28 |
1972073625 | Raquel Renee Washington | Social Worker | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2018-11-26 |
1497261119 | Laura Goudreau | Specialist/Technologist | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2017-12-18 |
1043760853 | Ilana Weisel | Social Worker | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2016-10-05 |
1932498136 | Ashish Tambar | Student in an Organized Health Care Education/Training Program | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2011-03-29 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932712254 | Covenant Cosmetic & Wellness Center | Clinic/Center | 3415 Hamilton Street, Suite 5, Hyattsville, MD 20782 | 2020-08-26 |
1174146807 | Scort Achah | Home Health Aide | 2572 Queens Chapel Road, #4, Hyattsville, MD 20782 | 2020-05-28 |
1679130215 | Kla Vision, P.C. | Optometrist | 3500 East-west Highway, Hyattsville, MD 20782 | 2019-05-20 |
1417431677 | Visurraga Enterprises LLC | Nurse Anesthetist, Certified Registered | 4112 E West Hwy, Hyattsville, MD 20782 | 2018-09-24 |
1134605876 | Melinda Merricks | Behavioral Analyst | 5901 31st Ave, Apt. 203, Hyattsville, MD 20782 | 2018-07-16 |
1457849093 | Prince George's County Health Department | Clinic/Center | 7000 Adelphi Road, Hyattsville, MD 20782 | 2018-04-30 |
1922527134 | Amenan Marie Paule Yao | Home Health Aide | 7009 Highview Ter Apt 202, Hyattsville, MD 20782 | 2017-09-19 |
1558886358 | Emilia Domingez De Urena | Home Health Aide | 6700 Belcrest Road, Hyattsville, MD 20782 | 2017-08-14 |
1184176851 | Prince George's Hospital Center | Student in an Organized Health Care Education/Training Program | 3500 Dean Drive, Apt K3, Hyattsville, MD 20782 | 2016-10-28 |
1992257927 | Johanna Arias-bonilla | Social Worker | 2970 Belcrest Center Drive Unit 301, Hyattsville, MD 20782 | 2016-10-25 |
Find all providers in zip 20782 |
Taxonomy Code | 1041S0200X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Social Worker |
Specialization | School |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1679184584 | Lindsey Comer | Social Worker | 5702 Sargent Rd, Chillum, MD 20782-2321 | 2020-08-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1740818822 | Rebecca Pavic | Social Worker | 1201 Old Ocean City Rd, Salisbury, MD 21804-4560 | 2020-04-01 |
1023645801 | Stephanie Salamone | Social Worker | 1333 Upcot Ct, Capitol Heights, MD 20743-4229 | 2020-03-24 |
1720645435 | Steven Murray Mednick | Social Worker | 2500 E Northern Pkwy, Baltimore, MD 21214-1163 | 2019-05-29 |
1811554645 | Patricia A. Yeargin | Social Worker | 200 E. North Avenue - Room 105: Re-engagement Center, Baltimore, MD 21202-2120 | 2019-05-28 |
1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
1427515303 | Cynthia Mary Jackson | Social Worker | 602 Kahn Dr, Pikesville, MD 21208-5824 | 2019-02-27 |
1902363765 | Angelina Anthony Sills | Social Worker | 2815 Saint Lo Dr, Baltimore, MD 21213-1325 | 2019-02-27 |
1972060846 | Matthew Mcleod Rehak | Social Worker | 825 Providence Rd, Towson, MD 21286-2964 | 2019-02-26 |
1164989166 | Nicole Maloney | Social Worker | 10 Cockeys Mill Rd, Reisterstown, MD 21136-1283 | 2019-02-26 |
1437616679 | Roseline Imbolo Petro-siewe | Social Worker | 926 Greenmount Ave, Baltimore, MD 21202-4238 | 2019-02-25 |
Find all providers with the same taxonomy |
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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.