POTOMAC PATHWAYS, LLC (NPI# 1881853620) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881853620 |
| Entity Type | Organization |
| Organization Name | POTOMAC PATHWAYS, LLC |
| Practice Address |
7945 Macarthur Blvd Suite 214 Cabin John MD 20818 |
| Practice Telephone | 3019877284 |
| Practice Fax Number | 2406308847 |
| Mailing Telephone | 3019877284 |
| Mailing Fax Number | 2406308847 |
| Enumeration Date | 2008-06-06 |
| Last Update Date | 2016-01-13 |
| Authorized Official Name | MR. BROOKE H BRODY (OWNER) |
| Authorized Official Telephone | 3019877284 |
| Authorized Official Credential | LCSW-C, LCADC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA400 | MD | Behavioral Health & Social Service Providers |
| N | 1041C0700X |
Social Worker Specialization: Clinical |
12360 | MD | Behavioral Health & Social Service Providers |
| Y | 251S00000X | Community/Behavioral Health | 905755 | MD | Agencies |
| Street Address |
7945 MACARTHUR BLVD SUITE 214 |
| City | CABIN JOHN |
| State | MD |
| Zip Code | 20818 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225136989 | Sylvia Alexandra Edelstein | Psychiatry & Neurology | 7945 Macarthur Blvd, #200a, Cabin John, MD 20818 | 2006-09-20 |
| 1386206597 | Devin Francis Maroney | Social Worker | 7945 Macarthur Blvd, Cabin John, MD 20818-1634 | 2019-07-08 |
| 1245613819 | Brooke H Brody | Counselor | 7945 Macarthur Blvd, Suite 214, Cabin John, MD 20818-1634 | 2015-07-01 |
| 1265571947 | Lynn Staton Dworsky | Psychiatry & Neurology | 7945 Macarthur Blvd, Suite 226, Cabin John, MD 20818-1634 | 2007-02-06 |
| 1164590147 | Bruce Lee M. Tanenbaum | Psychiatry & Neurology | 7945 Macarthur Blvd, Suite 221, Cabin John, MD 20818-1634 | 2006-11-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346735420 | Elizabeth Michelle Lawler | Social Worker | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818 | 2018-06-29 |
| 1538673678 | Samantha Ascanio | Social Worker | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818 | 2017-11-28 |
| 1083128623 | Marian Hwang | Social Worker | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818 | 2017-11-17 |
| 1932512787 | Nathan Luongo | Social Worker | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818 | 2014-06-10 |
| 1093859514 | Megan Lee Marquier-schacht | Psychologist | 6922 Seven Locks Rd, Cabin John, MD 20818-1101 | 2007-02-17 |
| 1427328855 | Walda Lynne Ciafone | Social Worker | 6600 81st St, Cabin John, MD 20818-1205 | 2012-01-02 |
| 1568799393 | Doreen Moreira | Preventive Medicine | 6518 80th St, Cabin John, MD 20818-1209 | 2009-11-16 |
| 1629477997 | Daniela Ana Wolf | Counselor | 6500 Seven Locks Rd Ste 206, Cabin John, MD 20818-1300 | 2014-08-22 |
| 1053456343 | David Pickar | Psychiatry & Neurology | 6500 Seven Locks Rd, Suite 220, Cabin John, MD 20818-1300 | 2007-02-21 |
| 1790217214 | Cabin John Psychiatry, LLC | Nurse Practitioner | 6500 Seven Locks Rd, Suite 206, Cabin John, MD 20818-1300 | 2017-04-03 |
| Find all providers in zip 20818 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902435399 | Change Academy At Lake of The Ozarks | Community/Behavioral Health | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818-1634 | 2020-04-07 |
| 1962993048 | Dc Metro Behavioral Health Services | Community/Behavioral Health | 7945 Macarthur Blvd Ste 214, Cabin John, MD 20818-1634 | 2018-05-23 |
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| 1154921682 | Neo Health Care Services, Inc. | Community/Behavioral Health | 110 Painters Mill Rd Ste 108, Owings Mills, MD 21117-5545 | 2020-10-26 |
| 1568062099 | Borderless Healthcare Services, LLC | Community/Behavioral Health | 1900 E Northern Pkwy Ste 308, Baltimore, MD 21239-2111 | 2020-10-26 |
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| 1568060630 | Miso Medical Center | Community/Behavioral Health | 14300 Cherry Lane Ct Ste 109, Laurel, MD 20707-4978 | 2020-10-12 |
| 1982211322 | Brenda Bivens Wilson | Community/Behavioral Health | 1726 Bolton St, Baltimore, MD 21217-4904 | 2020-09-29 |
| 1588270821 | Windward LLC | Community/Behavioral Health | 731 Old Herald Harbor Rd, Crownsville, MD 21032-1524 | 2020-09-22 |
| 1326652702 | Waller Psychotherapy, LLC | Community/Behavioral Health | 11007 Sweet Apple Ct, Upper Marlboro, MD 20772-7103 | 2020-09-03 |
| 1962016147 | One Step Closer Psychiatric Rehabilitation Program | Community/Behavioral Health | 8118 Harford Rd Ste E, Parkville, MD 21234-5725 | 2020-09-03 |
| Find all providers with the same taxonomy | ||||
| City | CABIN JOHN |
| Zip Code | 20818 |
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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.