BON SECOURS HOSPITAL BALTIMORE INC (NPI# 1720361322) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720361322 |
| Entity Type | Organization |
| Organization Name | BON SECOURS HOSPITAL BALTIMORE INC |
| Other Organization Name | BON SECOURS HOSPITAL, INC/SOCIAL WORKERS |
| Practice Address |
2000 W Baltimore St Baltimore MD 21223-1558 |
| Mailing Address |
Po Box 100631 Atlanta GA 30384-0631 |
| Practice Telephone | 4103623000 |
| Enumeration Date | 2011-09-21 |
| Last Update Date | 2018-11-06 |
| Authorized Official Name | DR. SAMUEL L ROSS (CEO) |
| Authorized Official Telephone | 4103623000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 282N00000X | General Acute Care Hospital | Hospitals | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | GHMSI | X951-0000 | 01 |
| MD | 442189200 | 05 | |
| MD | BCBS | KX82-BO | 01 |
| Other Name | Type Code |
|---|---|
| BON SECOURS HOSPITAL, INC/SOCIAL WORKERS | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558811240 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1003206319 | Bon Secours Hospital Baltimore Inc | Clinic/Center | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2015-01-26 |
| 1588809503 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2008-12-04 |
| Street Address |
2000 W BALTIMORE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21223-1558 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962480772 | Grace Medical Center, Inc. | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2006-01-03 |
| 1538724604 | Oluwatosin A Fanimo | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2019-05-04 |
| 1003382433 | Christina Joy Williamson | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-10-24 |
| 1447768072 | Francine Dorothea Madden | Nurse Practitioner | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2018-01-17 |
| 1407365760 | Kathryn Diana Violette | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-09-29 |
| 1992226872 | Sara Foresman | Dietitian, Registered | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2017-06-30 |
| 1114478559 | Bon Secours Hospital Baltiimore Ind | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-20 |
| 1497205066 | Bon Secours Hospital Baltimore, Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-07 |
| 1831649466 | Bon Secours Hospital Baltimore, Inc | Psychiatric Unit | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| 1558811240 | Bon Secours Hospital Baltimore Inc | General Acute Care Hospital | 2000 W Baltimore St, Baltimore, MD 21223-1558 | 2016-10-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649743972 | Dominique Olivier | Nurse Practitioner | Bon Secours Hospital, 2000 West Baltimore Street, Baltimore, MD 21223 | 2019-01-09 |
| 1659858769 | Millicent Boa-amponsem | Registered Nurse | 907 Ramsay St, Baltimore, MD 21223 | 2018-07-20 |
| 1023527231 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 13-19 South Fulton Avenue, Baltimore, MD 21223 | 2017-09-20 |
| 1245766468 | University Psychological Center, Inc | Substance Abuse Rehabilitation Facility | 1208-10 James Street, Baltimore, MD 21223 | 2017-05-08 |
| 1750737599 | Natasia D Brown | Social Worker | 1501 W. Saratoga St., Baltimore, MD 21223 | 2016-05-11 |
| 1104298355 | Independence Foundation, Inc. | Community/Behavioral Health | 13 S. Carrollton Ave, Baltimore, MD 21223 | 2015-10-28 |
| 1588095087 | Jr Healthcare Associates Dba Baltimore Behavioral Health | Clinic/Center | 1101 W. Pratt St., Baltimore, MD 21223 | 2013-12-09 |
| 1639501448 | Behavioral Health Network LLC | Counselor | 1101 W. Pratt Street, Baltimore, MD 21223 | 2013-08-02 |
| 1457606196 | Bon Secours Baltimore Physician Group LLC | Internal Medicine | 2000 West Baltimore Street, Phys Svcs, Baltimore, MD 21223 | 2012-07-18 |
| 1790060317 | Bestcare Pharmacy, Inc | Pharmacy | 3061 Frederick Avenue, Baltimore, MD 21223 | 2011-10-14 |
| Find all providers in zip 21223 | ||||
| Taxonomy Code | 1041C0700X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Social Worker |
| Specialization | Clinical |
| A social worker who holds a master’s or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master’s supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. |
| Notes: Source: National Association of Social Workers, 2008 [7/1/2009: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1508467069 | Pivot Inc. | Social Worker | 1725 E Baltimore St, Baltimore, MD 21231-1508 | 2020-11-02 |
| 1265033716 | Estell Wellness, LLC | Social Worker | 3925 Beech Ave Apt 522, Baltimore, MD 21211-2265 | 2020-11-02 |
| 1821698853 | Britney Buckson | Social Worker | 3710 Mary Ave, Baltimore, MD 21206-2416 | 2020-10-28 |
| 1467052746 | Allison Clayton | Social Worker | 1206 Union Ave, Baltimore, MD 21211-1901 | 2020-10-27 |
| 1134727506 | Maria Eleanor Nissley Ray | Social Worker | 906 Wilmington Ave, Baltimore, MD 21223-3224 | 2020-10-16 |
| 1144828161 | Melissa Vanderwolf Weldon | Social Worker | 3974 Edgehill Ave Apt C7, Baltimore, MD 21211-1721 | 2020-10-12 |
| 1467059691 | Artricia Cheri Love | Social Worker | 4010 W Belvedere Ave # 102, Baltimore, MD 21215-5502 | 2020-10-01 |
| 1710592183 | Stacy Tron | Social Worker | 2804 Laurelwood Ct, Baltimore, MD 21209-1414 | 2020-09-12 |
| 1326653742 | M S Brown Counseling Services LLC | Social Worker | 6801 Belair Rd Ste B, Baltimore, MD 21206-1121 | 2020-09-11 |
| 1700491438 | Chaey Skinner | Social Worker | 4312 Kolb Ave, Baltimore, MD 21206-2021 | 2020-09-10 |
| 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.