MARYAM SHAFIAH SURALEIGH (NPI# 1730300021) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1730300021 |
| Entity Type | Individual |
| Full Name | MARYAM SHAFIAH SURALEIGH |
| Practice Address |
630 W Fayette St Third Floor Baltimore MD 21201-1543 |
| Mailing Address |
Po Box 64277 Baltimore MD 21264-4277 |
| Practice Telephone | 4103282207 |
| Practice Fax Number | 4103289233 |
| Mailing Telephone | 4103287037 |
| Mailing Fax Number | 4103283311 |
| Enumeration Date | 2007-05-02 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
073512 | MD | Behavioral Health & Social Service Providers |
| Street Address |
630 W FAYETTE ST THIRD FLOOR |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21201-1543 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760468623 | Comptroller of Maryland Central Payroll Bureau | Psychiatric Hospital | 630 W Fayette St, Baltimore, MD 21201 | 2005-12-21 |
| 1083944615 | Univeristy of Maryland Medical Center, Alcohol & Drug Abuse Prog Adap | Counselor | 630 W Fayette St, Baltimore, MD 21201-1543 | 2010-01-04 |
| 1538499165 | University of Maryland Med Systems Corp - Harambee | Counselor | 630 W Fayette St, Baltimore, MD 21201-1543 | 2010-01-04 |
| 1366687337 | Diane Ossip | Psychiatry & Neurology | 630 W Fayette St, Baltimore, MD 21201-1543 | 2008-12-04 |
| 1447407994 | Alicia Octavia Scott-darden | Registered Nurse | 630 W Fayette St, Third Floor, Baltimore, MD 21201-1543 | 2008-08-26 |
| 1689821233 | Tirzah Marie Strang | Social Worker | 630 W Fayette St, Third Floor, Baltimore, MD 21201-1543 | 2008-08-26 |
| 1851553911 | Natalie Hart | Registered Nurse | 630 W Fayette St, Third Floor, Baltimore, MD 21201-1543 | 2008-06-30 |
| 1669676177 | Yolanda Marie Jones | Social Worker | 630 W Fayette St, Fourth Floor, Baltimore, MD 21201-1543 | 2007-06-11 |
| 1386866606 | Mary Claire Kelly-schultze | Social Worker | 630 W Fayette St, Third Floor, Baltimore, MD 21201-1543 | 2007-05-03 |
| 1568508927 | Physician Group Wpcc | Psychiatric Unit | 630 W Fayette St, Baltimore, MD 21201-1543 | 2007-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518585470 | Meshref Ayed Alshehri | Student in an Organized Health Care Education/Training Program | 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-07-08 |
| 1306462411 | Michael Julian Wong | Student in an Organized Health Care Education/Training Program | University of Maryland, Department of Anesthesiology, 22 S Green St, S11b, Baltimore, MD 21201 | 2020-06-24 |
| 1740817733 | Martha Kaitlyn Coghlan | Student in an Organized Health Care Education/Training Program | Ummc Ob/gyn, 22 S. Greene St., Baltimore, MD 21201 | 2020-03-27 |
| 1629606637 | Taylor Renee Kai | Student in an Organized Health Care Education/Training Program | University of Maryland, 22 S. Greene Street, Room N3e09, Baltimore, MD 21201 | 2020-03-27 |
| 1295362697 | Brittany A Oster | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street 6th Floor, Suite 300, Baltimore, MD 21201 | 2020-03-25 |
| 1346877735 | Kayvon Michael Mobarakeh | Student in an Organized Health Care Education/Training Program | University of Maryland Department of Anesthesiology, 22 S Greene St, S11c, Baltimore, MD 21201 | 2020-03-25 |
| 1598392284 | Zachary Allan Hagen | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, 6th Flr., Suite 200, Baltimore, MD 21201 | 2020-03-24 |
| 1700430055 | Jaime Semchuk | Student in an Organized Health Care Education/Training Program | 737 West Lombard, Baltimore, MD 21201 | 2019-07-25 |
| 1952861619 | Zachary Daniel Sanford | Student in an Organized Health Care Education/Training Program | 22 S Greene Street S8b12, Baltimore, MD 21201 | 2019-03-20 |
| 1114487840 | Spencer Sykes Lovegrove | Student in an Organized Health Care Education/Training Program | 110 S. Paca Street, Sixth Floor, Suite 200, Baltimore, Sixth Floor, Suite 200, Baltimore, MD 21201 | 2019-03-20 |
| Find all providers in zip 21201 | ||||
| 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 |
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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.