SOUTHERN MARYLAND COMMUNITY NETWORK INC (NPI# 1922374651) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922374651 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COMMUNITY NETWORK INC |
| Practice Address |
2670 Crain Hwy Suite 505 Waldorf MD 20601-2806 |
| Mailing Address |
Po Box 998 Prince Frederick MD 20678-0998 |
| Practice Telephone | 3019329146 |
| Practice Fax Number | 3019329361 |
| Mailing Telephone | 4105354787 |
| Mailing Fax Number | 4105354965 |
| Enumeration Date | 2012-03-27 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | KAREN E CARLONI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105354787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 4210603 00 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1073800843 | Southern Maryland Community Network Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2011-06-30 |
| 1942514518 | Southern Maryland Community Network Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St, Suite #5, Leonardtown, MD 20650-3814 | 2010-08-05 |
| Street Address |
2670 CRAIN HWY SUITE 505 |
| City | WALDORF |
| State | MD |
| Zip Code | 20601-2806 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1164415832 | Linda Jefferson | Internal Medicine | 2670 Crain Hwy, Suite 410, Waldorf, MD 20601-2806 | 2005-08-26 |
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| 1487105979 | Pathways Inc | Counselor | 2670 Crain Hwy, Suite #409, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1205387792 | Pathways Inc | Community/Behavioral Health | 2670 Crain Hwy, #407, Waldorf, MD 20601-2806 | 2016-10-19 |
| 1962955328 | Pathways, Inc | Community/Behavioral Health | 2670 Crain Hwy, Suite 407, Waldorf, MD 20601-2806 | 2016-08-02 |
| 1982084802 | Rhema Life Group LLC | Social Worker | 2670 Crain Hwy, Suite 206, Waldorf, MD 20601-2806 | 2015-06-05 |
| 1396171385 | Edner Charles | Nurse Practitioner | 2670 Crain Hwy, Waldorf, MD 20601-2806 | 2013-09-23 |
| 1033456900 | Cardiology Associates, LLC | Specialist | 2670 Crain Hwy, Suite 300, Waldorf, MD 20601-2806 | 2013-01-11 |
| 1154686533 | Pathways, Inc. | Community/Behavioral Health | 2670 Crain Hwy, Suite 409, Waldorf, MD 20601-2806 | 2012-07-11 |
| 1750645149 | Tina Lorice Penny | Physical Therapist | 2670 Crain Hwy, Waldorf, MD 20601-2806 | 2012-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154960128 | Sarian Beverly Wilson | Nurse Practitioner | 2203 Kayhill Dr, Waldorf, MD 20601 | 2019-12-23 |
| 1447778055 | Macy Alexandra Forman | Pharmacist | 3061 Tecnology Place, Waldorf, MD 20601 | 2017-09-04 |
| 1922523919 | Gregoire Mcclain | Counselor | Pathways Inc 2670 Crain Hwy, Suite 409, Waldorf, MD 20601 | 2017-08-10 |
| 1477091866 | Lutisse Cooper | Home Health Aide | 2520 Breakwater Court, Waldorf, MD 20601 | 2017-02-06 |
| 1609321637 | Kierra Jordan | Counselor | 2255 Crain Hwy Ste 102, Waldorf, MD 20601 | 2016-08-19 |
| 1215286828 | Linda Kline-lau | Counselor | 2255 Crain Highway, Waldorf, MD 20601 | 2012-08-29 |
| 1205124609 | Marian E. Kirk | Physical Therapist | 2960 Technology Place, Suite 110, Waldorf, MD 20601 | 2011-07-19 |
| 1932345238 | Patient First Maryland Medical Group | Non-Pharmacy Dispensing Site | 2855 Crain Highway, Waldorf, MD 20601 | 2008-12-17 |
| 1720150741 | Marianna Jeanne Patente | Counselor | 2670 Crain Highway, Suite #401, Waldorf, MD 20601 | 2006-11-14 |
| 1407940968 | Harold J. Pincus | Dentist | 2955 Crain Hwy., Waldorf, MD 20601 | 2006-10-02 |
| Find all providers in zip 20601 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081939 | Heavenly Helpers Home Health Services | Case Management | 11548 Lady Alison Ct, Waldorf, MD 20601-4630 | 2020-10-20 |
| 1497313571 | Divine By Design Mentoring Co | Case Management | 12474 Turtle Dove Pl, Waldorf, MD 20602-1402 | 2019-06-03 |
| 1255842001 | Carters Comprehensive Support Services LLC | Case Management | 2311 Pinefield Rd, Waldorf, MD 20601-3235 | 2017-10-19 |
| 1215352067 | Nu Genesis Youth and Professional Development Services, LLC | Case Management | 2451 Hanover Ct, Waldorf, MD 20601-5302 | 2014-03-03 |
| 1154593531 | Arcar Services, Inc. | Case Management | 6005 New Forest Ct, Suite 6, Waldorf, MD 20603-4743 | 2008-03-26 |
| 1821036518 | Tri-county Youth Services Bureau, Inc | Case Management | 75 Industrial Park Dr, Waldorf, MD 20602-2708 | 2006-06-03 |
| 1578194635 | H.o.p.e Behavioral Health | Case Management | 3261 Old Washington Rd Ste 3021, Waldorf, MD 20602-3229 | 2020-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1821613530 | Renaye James Healthcare Advisors, LLC | Case Management | 12028 Open Run Rd, Ellicott City, MD 21042-6101 | 2020-06-09 |
| 1902420680 | Infostructures, Inc. | Case Management | 1390 Piccard Dr Ste 330, Rockville, MD 20850-6540 | 2020-05-29 |
| 1235752064 | Recovery Coalition of Maryland | Case Management | 2900 Hammonds Ferry Rd, Halethorpe, MD 21227-3142 | 2020-05-27 |
| 1922628783 | Rehabilitation Center for Humanity LLC | Case Management | 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 | 2020-04-22 |
| 1073149183 | Inner County Outreach, Inc. | Case Management | 529 Edmund St, Aberdeen, MD 21001-3429 | 2020-03-20 |
| 1376177170 | Center for Community Services | Case Management | 8041 White Jasmine Ct, Ellicott City, MD 21043-4984 | 2020-03-02 |
| 1811521404 | Center for Children, Inc. | Case Management | 4550 Forbes Blvd Ste 350, Lanham, MD 20706-4394 | 2020-02-24 |
| 1447883368 | First Option LLC | Case Management | 5900 Princess Garden Pkwy Ste 310, Lanham, MD 20706-2947 | 2020-02-19 |
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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.