ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC (NPI# 1972114403) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972114403 |
| Entity Type | Organization |
| Organization Name | ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC |
| Practice Address |
711 Maiden Choice Ln Catonsville MD 21228-3632 |
| Mailing Address |
Po Box 783712 Philadelphia PA 19178-3712 |
| Practice Telephone | 4102475602 |
| Practice Fax Number | 4102421756 |
| Mailing Telephone | 8003603851 |
| Mailing Fax Number | 4104022265 |
| Enumeration Date | 2020-08-10 |
| Last Update Date | 2020-08-10 |
| Authorized Official Name | DONNA ETHEL RACHUBA (MEDICAL STAFF SERVICES DIRECTOR) |
| Authorized Official Telephone | 4104022258 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 104100000X | Social Worker | Behavioral Health & Social Service Providers | ||
| Y | 1041C0700X |
Social Worker Specialization: Clinical |
Behavioral Health & Social Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952912487 | Erickson Health Medical Group of Maryland, PC | Social Worker | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2020-08-10 |
| 1467503094 | Erickson Health Medical Group of Maryland, PC | Durable Medical Equipment & Medical Supplies | 3110 Gracefield Rd, Silver Spring, MD 20904-1820 | 2007-01-12 |
| 1386795912 | Erickson Health Medical Group of Maryland, PC | Durable Medical Equipment & Medical Supplies | 8800 Walther Blvd, Baltimore, MD 21234-9001 | 2007-01-12 |
| 1689724692 | Erickson Health Medical Group of Maryland, PC | Durable Medical Equipment & Medical Supplies | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2007-01-11 |
| Street Address |
711 MAIDEN CHOICE LN |
| City | CATONSVILLE |
| State | MD |
| Zip Code | 21228-3632 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003433285 | Ija Lynn Delia | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2020-07-03 |
| 1922599984 | Shannon Lea Miller | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2018-05-25 |
| 1306352000 | Nicole Anne Dozier | Social Worker | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2017-12-18 |
| 1477898591 | Kristen R Mcgaha | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228 | 2012-11-29 |
| 1104100882 | Assiatu B. Barrie | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2011-09-29 |
| 1376832584 | Kristin Davidson Burkhardt | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2011-03-29 |
| 1477799245 | Hilda Ardella Lively | Nurse Practitioner | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2008-12-29 |
| 1992968960 | Lakshmi Meenakshisundaram | Internal Medicine | 711 Maiden Choice Ln, Catonsville, MD 21228 | 2008-07-09 |
| 1093907982 | Amy E Mutch | Internal Medicine | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2007-08-14 |
| 1598816449 | Erickson Health Medical Group of Maryland PC | Family Medicine | 711 Maiden Choice Ln, Catonsville, MD 21228-3632 | 2007-01-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699307975 | Playful Minds | Social Worker | 1009 Frederick Road, Baltimore, MD 21228 | 2020-02-05 |
| 1649818329 | Resolute Medical Care LLC | Nurse Practitioner | 4 E. Rolling Crossroads, Ste 100, Catonsville, MD 21228 | 2019-12-13 |
| 1760020416 | Bh Brightview Rolling Hills Opco, LLC | Alzheimer Center (Dementia Center) | 848 South Rolling Road, Catonsville, MD 21228 | 2019-12-12 |
| 1912542812 | Tiana Green | Counselor | 606 Edmondson Ave., Catonsville, MD 21228 | 2019-11-14 |
| 1699324806 | Maryland Cvs Pharmacy LLC | Durable Medical Equipment & Medical Supplies | 4701 Wilkens Ave, Catonsville, MD 21228 | 2019-09-10 |
| 1528613460 | Hyung Joon Kim Dds PC | Dentist | 516 N. Rolling Rd, #201, Catonsville, MD 21228 | 2019-08-07 |
| 1982109658 | William Jones | Counselor | 29 Tentmill Lane, Pikesville, MD 21228 | 2018-03-26 |
| 1740783752 | Jean Walter Infusion Center, LLC | Clinic/Center | 700 Geipe Road St. 100, Catonsville, MD 21228 | 2018-03-15 |
| 1174036578 | Ideal Telemedicine Services, LLC | Clinic/Center | 516 N Rolling Rd Ste 301, Catonsville, MD 21228 | 2017-11-08 |
| 1932627239 | Mind Over Matter Health Services, Inc. | Community/Behavioral Health | 616 Old Edmondson Ave. Ste. 4, Baltimore, MD 21228 | 2017-09-07 |
| Find all providers in zip 21228 | ||||
| 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 |
|---|---|---|---|---|
| 1134637036 | Margaret Hartzell Mcmillan | Social Worker | 426 Westshire Dr, Catonsville, MD 21228-3207 | 2018-01-14 |
| 1588112478 | Jessica Caley Devlin Grisard | Social Worker | 5740 Executive Dr, Suite 220, Catonsville, MD 21228-1766 | 2016-09-20 |
| 1770949976 | Hannah Pfeifer | Social Worker | 17 Sanford Ave, Catonsville, MD 21228-5004 | 2016-01-05 |
| 1104213610 | Rebecca Statman | Social Worker | 500 Wade Ave, Treatment Research Unit - Tawes A, Catonsville, MD 21228 | 2015-04-22 |
| 1013312834 | Joseph Zappala | Social Worker | 508 Frederick Rd, Catonsville, MD 21228 | 2014-10-23 |
| 1609298694 | Coleman & Associates | Social Worker | 6630 Baltimore National Pike # S205b, Catonsville, MD 21228-3920 | 2014-01-10 |
| 1467881870 | Marni Mcgarry | Social Worker | 221 Paradise Ave, Catonsville, MD 21228-3654 | 2013-11-06 |
| 1568806040 | Joanne Marie Taylor | Social Worker | 1809 Westchester Ave, Catonsville, MD 21228-4036 | 2013-04-26 |
| 1376880872 | Stanley Carl Zdancewicz | Social Worker | 2 W. Rolling Crossroads, Suite 209, Catonsville, MD 21228 | 2013-01-04 |
| 1215293642 | Lois Ann Blum | Social Worker | 2 Scotch Elm Ct, Catonsville, MD 21228-5871 | 2012-04-10 |
| Find all providers in CATONSVILLE | ||||
| City | CATONSVILLE |
| Zip Code | 21228 |
Please comment or provide details below to improve the information on ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC.
| 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.