PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC


Address: 7200 Bank Ct Ste 120, Frederick, MD 21703-2886
Phone: 3107038767

PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC (NPI# 1992344253) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1992344253
Entity Type Organization
Organization Name PAIN AND SPINE SPECIALISTS OF MARYLAND, LLC
Practice Address 7200 Bank Ct Ste 120
Frederick
MD 21703-2886
Mailing Address 2702 Back Acre Cir Ste 290b
Mount Airy
MD 21771-7769
Practice Telephone 3107038767
Mailing Telephone 3017038767
Enumeration Date 2020-01-03
Last Update Date 2020-01-03
Authorized Official Name SUDHIR R RAO (OWNER)
Authorized Official Telephone 3017038767
Authorized Official Credential MD
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
N 101YA0400X Counselor
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 101YM0800X Counselor
Specialization: Mental Health
Behavioral Health & Social Service Providers
N 101YP2500X Counselor
Specialization: Professional
Behavioral Health & Social Service Providers
N 103T00000X Psychologist Behavioral Health & Social Service Providers
N 103TA0400X Psychologist
Specialization: Addiction (Substance Use Disorder)
Behavioral Health & Social Service Providers
N 103TC1900X Psychologist
Specialization: Counseling
Behavioral Health & Social Service Providers
N 104100000X Social Worker Behavioral Health & Social Service Providers
Y 1041C0700X Social Worker
Specialization: Clinical
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD STATE LICENSE 191009228 01

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1669008330 Pain and Spine Specialists of Maryland, LLC Counselor 6816 Deerpath Rd Ste 201, Elkridge, MD 21075-6200 2020-03-13
1477192730 Pain and Spine Specialists of Maryland, LLC Counselor 6816 Deerpath Rd Ste 205, Elkridge, MD 21075-6200 2020-01-03
1174884258 Pain and Spine Specialists of Maryland, LLC Social Worker 2702 Back Arce Circle, 290b, Mount Airy, MD 21771-7769 2012-06-05
1295361962 Pain and Spine Specialists of Maryland, LLC Counselor 7200 Bank Ct Ste 120, Frederick, MD 21703-2886 2020-03-13
1215563986 Pain and Spine Specialists of Maryland, LLC Counselor 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 2020-03-13
1295369262 Pain and Spine Specialists of Maryland, LLC Pain Medicine 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 2020-02-27
1053943613 Pain and Spine Specialists of Maryland, LLC Durable Medical Equipment & Medical Supplies 2034 Pro Pointe Ln, Harrisonburg, VA 22801-8021 2020-02-11
1720647365 Pain and Spine Specialists of Maryland, LLC Social Worker 2702 Back Acre Cir Ste 290b, Mount Airy, MD 21771-7769 2019-06-07

Office Location

Street Address 7200 BANK CT STE 120
City FREDERICK
State MD
Zip Code 21703-2886

Providers in the same location

NPI Name Taxonomy Address Enumeration
1295361962 Pain and Spine Specialists of Maryland, LLC Counselor 7200 Bank Ct Ste 120, Frederick, MD 21703-2886 2020-03-13

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1861902959 Kenny Chen Optometrist 5283 Corporate Dr Ste 201, Frederick, MD 21703 2017-10-03
1578934550 Barbara Tarlowski Physical Therapy Assistant 347 Ballenger Center Drive, Frederick, MD 21703 2015-10-15
1679958813 Taiji Acupuncture Clinic Community Based Residential Treatment Facility, Mental Illness 1411 Bluewing Ct, Frederick, MD 21703 2015-07-29
1609283050 Green Ridge Behavioral Health, LLC Psychiatry & Neurology 5216 Chairmans Court, Suite 102, Frederick, MD 21703 2014-07-17
1841597705 Jennifer Anne Dye Speech-Language Pathologist 5312 Ballenger Creek Pike, Frederick, MD 21703 2011-02-11
1568794790 Andersons Community Healthcare Services Inc Nursing Care 4727 Verdana Loop, Frederick, MD 21703 2010-02-15
1962672782 Service Coordination Inc Case Management 5303 Spectrum Drive, Suite I, Frederick, MD 21703 2008-03-07
1396877189 Health and Happiness LLC Psychologist 93 S Mccain Drive, Frederick, MD 21703 2007-03-09
1275629776 Mary Bernadette Sheehy Nurse Practitioner Fmh Wellness Center 5500 Buckeystown Pike, Corpohs Prospect Plaza, Frederick, MD 21703 2006-10-04
1720185218 Rea and Derick Inc P 1835 Pharmacy 5500 Buckeystown Pk Frcs Sct Key Mall, Frederick, MD 21703 2006-09-19
Find all providers in zip 21703

Taxonomy Information

Taxonomy Code 1041C0700X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization Clinical

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1932723038 Jennifer Michelle Clark Social Worker 22 Norva Ave, Frederick, MD 21701-6279 2020-06-04
1508413121 Kristen Williams Social Worker 6530 Mercantile Dr W, Frederick, MD 21703-1836 2019-08-19
1982265195 Diana Stewart Social Worker 1003 W 7th St Ste And301, Frederick, MD 21701-4106 2019-06-27
1386204212 Anna Aileen See-jachowski Social Worker 10 N Jefferson St Ste 406, Frederick, MD 21701-4823 2019-06-13
1548726078 Venus Tomlinson Social Worker 2007 Truett Way, Frederick, MD 21702-2122 2019-02-20
1831655364 Andrea Bieljeski Social Worker 10 N Jefferson St Ste 202, Frederick, MD 21701-4865 2019-02-20
1306310305 Catherine Durrett Griffiths Social Worker 2552 Bear Den Rd, Frederick, MD 21701-5230 2019-01-14
1740750983 Hamblin Phillips Social Worker 1445 Taney Ave, Frederick, MD 21702-4311 2018-11-30
1730688961 Kate Macshane Social Worker 1 W Church St, Frederick, MD 21701-5991 2018-02-02
1518465426 Lisa Mccrohan Social Worker 723 N Market St, Frederick, MD 21701-5246 2018-01-25
Find all providers in FREDERICK

Competitor

Search similar providers

City FREDERICK
Zip Code 21703

Improve Information

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Dataset Information

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.

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