Maryland Center for Gender & Intimacy

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

MARYLAND CENTER FOR GENDER & INTIMACY

Practice address

319 W Patrick St
Frederick, MD 21701-4855

Phone

(301) 360-4349

NPI assigned

Dec 5, 2019

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Kate Macshane, LCSW-CNPI 1730688961

Title

Psychotherapist & Clinical Director

Phone

(301) 360-4349

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Kate Macshane, LCSW-C

  • Clinical Social Worker
  • Frederick, MD
  • NPI 1730688961
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1575504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575504000000",
    "number": "1003453366",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "319 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "301-360-4349"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "319 W PATRICK ST",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217014855",
            "telephone_number": "301-360-4349"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND CENTER FOR GENDER & INTIMACY",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-05",
        "last_updated": "2019-12-05",
        "status": "A",
        "authorized_official_last_name": "MACSHANE",
        "authorized_official_first_name": "KATE",
        "authorized_official_title_or_position": "PSYCHOTHERAPIST & CLINICAL DIRECTOR",
        "authorized_official_telephone_number": "301-360-4349",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Martinsburg Vamc
• Marx Medical Inc
• Marx Medical Inc.
• Mary Ellen Shea LCPC LLC
• Maryland Anesthesiology Physicians Group
• Maryland Child Therapy Specialists, LLC
• Maryland Counseling Centers, Inc.
• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy LLC
• Maryland CVS Pharmacy LLC

• Mental Health Clinic/Center (Including Community Mental Health Center) in Frederick, MD
• Providers in Frederick, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.