PROJECT CHESAPEAKE LLC (NPI# 1548789985) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548789985 |
| Entity Type | Organization |
| Organization Name | PROJECT CHESAPEAKE LLC |
| Practice Address |
21 Industrial Park Dr Unit 103c Waldorf MD 20602-2751 |
| Practice Telephone | 3018180030 |
| Practice Fax Number | 3018180030 |
| Mailing Telephone | 4434405790 |
| Mailing Fax Number | 4403788538 |
| Enumeration Date | 2017-09-18 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | MRS. REBEKHA ROGERS (CLINIC DIRECTOR/OWNER) |
| Authorized Official Telephone | 4434405780 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 1041C0700X |
Social Worker Specialization: Clinical |
17401 | MD | Behavioral Health & Social Service Providers |
| Y | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 811842 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112221 | Project Chesapeake LLC | Social Worker | 69 Sherry Ln Ste 2, Prince Frederick, MD 20678-3231 | 2016-09-12 |
| 1982152500 | Project Chesapeake LLC | Social Worker | 26845 Point Lookout Rd Ste 1, Leonardtown, MD 20650-4935 | 2016-09-12 |
| 1225490808 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-03-23 |
| 1306398201 | Project Chesapeake LLC | Social Worker | 26845 Point Lookout Rd, Leonardtown, MD 20650-4935 | 2016-10-27 |
| 1912459017 | Project Chesapeake LLC | Social Worker | 131 Main St, Ste 2, Prince Frederick, MD 20678-3336 | 2016-10-25 |
| 1366990012 | Project Chesapeake LLC | Social Worker | 111 E Main St, Suite B, Elkton, MD 21921-5996 | 2016-09-12 |
| 1053760421 | Project Chesapeake LLC | Social Worker | 34 Defense St, 001, Annapolis, MD 21401-3577 | 2016-06-07 |
| 1154770527 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-06-07 |
| 1033574678 | Project Chesapeake LLC | Community/Behavioral Health | 34 Defense St, 001, Annapolis, MD 21401-3577 | 2015-12-28 |
| Street Address |
21 INDUSTRIAL PARK DR UNIT 103C |
| City | WALDORF |
| State | MD |
| Zip Code | 20602-2751 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689799751 | Paul Edward Donato | Social Worker | 21 Industrial Park Dr, 202f, Waldorf, MD 20602-2751 | 2007-03-20 |
| 1891297677 | Project Chesapeake, LLC | Community/Behavioral Health | 21 Industrial Park Dr, Waldorf, MD 20602-2751 | 2018-03-07 |
| 1205079746 | Coquus | Social Worker | 21 Industrial Park Dr, Suite 202 F, Waldorf, MD 20602-2751 | 2009-04-14 |
| 1528209897 | Waldorf Family and Cosmetic Dentistry | Dentist | 21 Industrial Park Dr, Waldorf, MD 20602-2751 | 2009-03-17 |
| 1518082478 | Patricia Ann Vance | Psychologist | 21 Industrial Park Dr, Suite 202 F, Waldorf, MD 20602-2751 | 2007-03-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053964957 | Haeyoung Choi | Pharmacist | 25 Smallwood Village Center, Waldorf, MD 20602 | 2019-07-19 |
| 1679137194 | Brighter Days Family Services Inc | Counselor | 11680 Doolittle Dr #111, Waldorf, MD 20602 | 2019-04-30 |
| 1396227039 | Lantern Family Services Inc | Community/Behavioral Health | 11680 Doolittle Dr Ste 111, Waldorf, MD 20602 | 2018-08-29 |
| 1093294910 | Metropolitan Vascular Institute LLC | Internal Medicine | 12070 Old Line Ctr Ste 100, Waldorf, MD 20602 | 2018-08-10 |
| 1174009922 | Dr. Arthur B. Sorkin, D.d.s., LLC | Dentist | 3460 Old Washington Rd., Suite 301-b, Waldorf, MD 20602 | 2018-07-16 |
| 1467945030 | Donna Marie Conley-shaw | Behavior Technician | 16 Pagnell Cir, Waldorf, MD 20602 | 2018-06-08 |
| 1811404296 | Loni Berbaum | Speech-Language Pathologist | 4817 Elmley Pl Apt 315, Waldorf, MD 20602 | 2018-01-06 |
| 1891224853 | Linda E Smith | Social Worker | 605 Pst Office Road, #301, Waldorf, MD 20602 | 2017-06-05 |
| 1104373273 | Love Ngum Che | Pharmacist | 25 Smallwood Village, Waldorf, MD 20602 | 2016-09-07 |
| 1639543341 | Matengy Toure | Pharmacist | 129 St Charles Pkwy, Waldorf, MD 20602 | 2015-11-18 |
| Find all providers in zip 20602 | ||||
| Taxonomy Code | 261QR0405X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Substance Use Disorder |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093007411 | Counseling Professionals Incorporated | Clinic/Center | 3555 Leonardtown Rd, Suite#8, Waldorf, MD 20601-3617 | 2011-05-03 |
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| 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.