MRS. ERIN SAMANTHA UPHOFF (NPI# 1639636459) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1639636459 |
| Entity Type | Individual |
| Full Name | MRS. ERIN SAMANTHA UPHOFF |
| Practice Address |
2311 Willoughby Beach Rd Edgewood MD 21040-3419 |
| Mailing Address |
213 Lafayette St Havre De Grace MD 21078-3561 |
| Practice Telephone | 4106121518 |
| Mailing Telephone | 4106525366 |
| Enumeration Date | 2019-02-28 |
| Last Update Date | 2019-02-28 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041S0200X |
Social Worker Specialization: School |
22102 | MD | Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | SOCIAL WORK LICENSE | 22102 | 01 |
| MD | MA BILLING | 519 | 01 |
| Street Address |
2311 WILLOUGHBY BEACH RD |
| City | EDGEWOOD |
| State | MD |
| Zip Code | 21040-3419 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447763826 | Taisha Vinson | Social Worker | 2311 Willoughby Beach Rd, Edgewood, MD 21040-3419 | 2017-11-08 |
| 1942859582 | Alexis Frazier | Counselor | 2311 Willoughby Beach Rd, Edgewood, MD 21040-3419 | 2019-09-06 |
| 1609346824 | Emily Boyd | Speech-Language Pathologist | 2311 Willoughby Beach Rd, Edgewood, MD 21040-3419 | 2018-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275028458 | Alycia Covelly | Counselor | 2415 Willoughby Beach Rd, Edgewood, MD 21040 | 2018-06-29 |
| 1558885491 | Kenneth J Heil Jr. | Physical Therapist | 1401f Pulaski Highway, Edgewood, MD 21040 | 2017-08-02 |
| 1952845810 | Caroline Njane | Registered Nurse | 835 Clover Leaf Ct, Edgewood, MD 21040 | 2016-12-12 |
| 1003368945 | Rts Edgewood | Clinic/Center | 2205 Pulaski Hwy, Edgewood, MD 21040 | 2016-10-26 |
| 1194133033 | Dante Winter | Pharmacist | 1301 Woodbridge Center Way, Edgewood, MD 21040 | 2014-07-23 |
| 1841469723 | Rafiq Patel M D P A | General Practice | 1952 Pulaski Highway, Edgewood, MD 21040 | 2008-02-26 |
| 1871793877 | Nichols Shelter Home for Elderly | Health Maintenance Organization | 1111 Hanson Rd., Edgewood, MD 21040 | 2007-07-19 |
| 1467505362 | William N Bernhard | Preventive Medicine | 2624 Fairview Pt Rd. Bldg E 6814, Aviation Medicine Clinic, Edgewood (apg), MD 21040 | 2007-01-22 |
| 1417006503 | Phoenix Recovery Center Inc | Clinic/Center | 107 Edgewood Rd, Edgewood, MD 21040 | 2007-01-09 |
| 1093886848 | Fernando Jose Narava | Dentist | 9690 Deereco, Suite 120, Timonium, MD 21040 | 2006-11-13 |
| Find all providers in zip 21040 | ||||
| Taxonomy Code | 1041S0200X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | School |
| Definition to come... |
| 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.