JODI WAYNE, LCSW-C, LLC (NPI# 1528532777) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1528532777 |
Entity Type | Organization |
Organization Name | JODI WAYNE, LCSW-C, LLC |
Practice Address |
336 S Main St Ste 2ca Bel Air MD 21014-3978 |
Mailing Address |
121 Briarcliff Ln Bel Air MD 21014-5555 |
Practice Telephone | 4434178011 |
Mailing Telephone | 4434178011 |
Enumeration Date | 2019-01-21 |
Last Update Date | 2019-01-21 |
Authorized Official Name | JOHANNA WAYNE (THERAPIST) |
Authorized Official Telephone | 4434178011 |
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 |
State | Issuer | Identifier | Type Code |
---|---|---|---|
MD | 0347311 | 05 |
Address | Telephone Number | Fax Number |
---|---|---|
1200 Moores Mill Rd, Bel Air, MD 210142727 | 4434178011 | |
1301 N Fountain Green Rd, Bel Air, MD 210152505 | 4434178011 |
Street Address |
336 S MAIN ST STE 2CA |
City | BEL AIR |
State | MD |
Zip Code | 21014-3978 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1053465211 | Johanna S Wayne | Social Worker | 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 | 2007-01-23 |
1750561767 | Lisa C Peters | Counselor | 336 S Main St Ste 2ca, Bel Air, MD 21014-3978 | 2007-11-07 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932757713 | Rebecca Gavin | Social Worker | 221 Maitland St Ste 204, Bel Air, MD 21014 | 2019-08-26 |
1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
1700355351 | Barbara Ann Melton-jones | Counselor | 120 S. Hays St., Bel Air, MD 21014 | 2018-11-13 |
1306327945 | Donald David Fleming | Counselor | Dave Fleming, 418 S Main Street, Bel Air, MD 21014 | 2018-08-22 |
1003396847 | Michael Smith, Dpt LLC | Physical Therapist | 10 South Hays Street, Bel Air, MD 21014 | 2018-08-21 |
1467942987 | The Caring Connection, Inc | Adult Companion | 304 Vale Road, Bel Air, MD 21014 | 2018-05-10 |
1194220376 | Mc Counseling Inc | Social Worker | 336 S. Main Street, Suite 2 C-a, Bel Air, MD 21014 | 2018-03-28 |
1861997678 | Harford X-ray Services LLC | Radiology | 615 W Macphail Rd Ste 106b, Bel Air, MD 21014 | 2018-03-26 |
1386143964 | Lucy Huiyu Tong | Nurse Practitioner | Potomac Physicians, 104 Plumtree Road, Bel Air, MD 21014 | 2018-02-08 |
1124561238 | Children's National Health System | Chronic Disease Hospital | 914 Cheswold Court, Bel Air, MD 21014 | 2016-11-21 |
Find all providers in zip 21014 |
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 |
---|---|---|---|---|
1790348563 | Iql Behavioral Health Services LLC | Community/Behavioral Health | 1003 Red Pump Road, Bel Air, MD 21014 | 2019-04-17 |
1821129461 | State of Maryland Dep of Health Mental Hygiene | Community/Behavioral Health | 604 Churchill Road, Suite#p, Bel Air, MD 21014 | 2007-03-07 |
1184190282 | Kayla Stansberry, LLC | Community/Behavioral Health | 200 Princeton Ln, Bel Air, MD 21014-2019 | 2018-10-17 |
1265896435 | M.l. Paul, Phd, LLC | Community/Behavioral Health | 1220 E Churchville Rd, Bel Air, MD 21014-3406 | 2016-04-13 |
1295142172 | Ruby Road LLC | Community/Behavioral Health | 260 Gateway Dr, Suite 3-4b, Bel Air, MD 21014-4268 | 2014-07-12 |
1083940647 | Alliance, Inc. | Community/Behavioral Health | 4b North Ave, Suite 306, Bel Air, MD 21014-2329 | 2009-11-02 |
1801922711 | Harford County Health Department | Community/Behavioral Health | 119 S Hays St, 5 North Main St., Bel Air, MD 21014-3644 | 2007-02-26 |
NPI | Name | Taxonomy | Address | Enumeration |
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1366043127 | Ch Mh Services (md), LLC | Community/Behavioral Health | 12 W Montgomery St Ste 107, Baltimore, MD 21230-4490 | 2020-11-06 |
1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
1194324772 | Strength, Courage & Wisdom Behavioral Health | Community/Behavioral Health | 301 Main St Ste 2c, Reisterstown, MD 21136-1957 | 2020-10-23 |
1386243194 | Hands of Hope Therapeutic Services LLC | Community/Behavioral Health | 1123 State Route 3 N Ste 189, Gambrills, MD 21054-1715 | 2020-10-22 |
1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
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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.