TEWEDAJ KEBEDE MOLLA (NPI# 1619529310) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1619529310 |
| Entity Type | Individual |
| Full Name | TEWEDAJ KEBEDE MOLLA |
| Practice Address |
5820 York Rd Ste 202 Baltimore MD 21212-3620 |
| Practice Telephone | 3013451022 |
| Mailing Telephone | 3013451022 |
| Mailing Fax Number | 3015605588 |
| Enumeration Date | 2019-07-12 |
| Last Update Date | 2019-07-12 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 104100000X | Social Worker | 25053 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | MARYLAND BOARD OF SOCAIL WORK EXAMINERS | 25053 | 01 |
| Street Address |
5820 YORK RD STE 202 |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21212-3620 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275978165 | Advanced Behavioral Health, Inc. | Psychiatry & Neurology | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2013-05-06 |
| 1750915484 | Katrina Belarmino | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2020-03-03 |
| 1912558412 | Tawana Wilson | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2019-09-25 |
| 1619431947 | Matthew Richard Sampson | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2019-01-31 |
| 1275025926 | Vaughan R Wimberley | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2018-05-30 |
| 1528556586 | Jazmone Sherece Taylor | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2018-04-25 |
| 1629584222 | Elizabeth Adolph | Counselor | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-12-18 |
| 1790299709 | Amy Lee Kirby | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-11-29 |
| 1114437928 | Daniel J Udo | Social Worker | 5820 York Rd Ste 202, Baltimore, MD 21212-3620 | 2017-10-06 |
| 1821538224 | Jonathan Englard | Nurse Practitioner | 5820 York Rd Ste 202, Baltimore, MD 21212 | 2017-03-03 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750935227 | Leigh Anne Tabernero | Counselor | 6600 York Rd Suite 110, Towson, MD 21212 | 2019-08-01 |
| 1245734250 | Jeri Michele Mankye | Counselor | 814 Radnor Ave, Baltimore, MD 21212 | 2018-03-23 |
| 1063910859 | Victory Health Care Services LLC | Clinic/Center | 499c Beaumont Avenue, Suite 18, Baltimore, MD 21212 | 2018-01-26 |
| 1063927622 | Janice Furst | Psychologist | 421 Old Trail, Baltimore, MD 21212 | 2017-12-05 |
| 1689196537 | Huber Rehabilitation Services | Counselor | 500 Woodbourne, Baltimore, MD 21212 | 2017-07-12 |
| 1639608037 | Christina Joy Antolick | Behavior Technician | 1007 Lenton Ave, Baltimore, MD 21212 | 2017-06-08 |
| 1902359979 | Miriam Trader | Speech-Language Pathologist | 500 Overbrook Road, Baltimore, MD 21212 | 2016-07-26 |
| 1497137269 | Candy Carter | Social Worker | 5900 York Rd Ste 108, Baltimore, MD 21212 | 2015-06-29 |
| 1053703298 | Cathryne L. Maciolek, Psy.d., LLC | Psychologist | 540 E. Belvedere Avenue, Suite 203, Baltimore, MD 21212 | 2015-02-25 |
| 1891034831 | Ashley Martin | Social Worker | 6401 York Road Third Floor, Towson, MD 21212 | 2013-02-12 |
| Find all providers in zip 21212 | ||||
| Taxonomy Code | 104100000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public. |
| Notes: Source: National Association of Social Workers, 2009 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942801915 | Cheldone Levonne Jones | Social Worker | 1900 N Howard St # 300, Baltimore, MD 21218-5909 | 2020-11-05 |
| 1427655224 | Andrea Eve Grushka | Social Worker | 807 N Howard St, Baltimore, MD 21201-4888 | 2020-10-05 |
| 1861005829 | Lisa Denise Fisher | Social Worker | 103 Old Court Rd Ste A, Baltimore, MD 21208-4002 | 2020-08-28 |
| 1184233405 | Theresa M Foster | Social Worker | 5601 Loch Raven Blvd Ste 103, Baltimore, MD 21239-2945 | 2020-07-23 |
| 1780206623 | Leah Hairston | Social Worker | 822 Guilford Ave # 740, Baltimore, MD 21202-3707 | 2020-05-14 |
| 1740814367 | Latonuia Patrice Jones | Social Worker | 4004 Ridgecroft Rd, Baltimore, MD 21206-5030 | 2020-02-24 |
| 1093352916 | Mallory Anna Wood | Social Worker | 4805 Garrison Blvd Fl 1, Baltimore, MD 21215-5695 | 2019-12-10 |
| 1225674815 | Lyndsey Ellen Williams | Social Worker | 928 Binney St, Baltimore, MD 21224-4703 | 2019-11-19 |
| 1952943169 | Jordan Brunson | Social Worker | 1627 Waverly Way Apt E, Baltimore, MD 21239-2311 | 2019-10-09 |
| 1568012771 | Omolola Adekoya | Social Worker | 7746 Eastdale Rd, Baltimore, MD 21224-2013 | 2019-09-19 |
| Find all providers in BALTIMORE | ||||
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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.