NPIMap

Organization Active NPI

Sttar Center Inc

  • Clinical Social Worker
  • Columbia, MD
National Provider Identifier
1093832180
Registry record updated Jul 1, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
STTAR CENTER INC
Practice address
9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595
Phone
(410) 290-6432
Fax
(410) 290-6604
NPI assigned
Mar 23, 2007
Last updated
Jul 1, 2009By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 1, 2009

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

Authorized official

Name
Loretta Jeannie Dillingham
Title
Executive Director
Phone
(410) 290-6432

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Professional CounselorGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 101YP2500X
Clinical Social WorkerGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595

Mailing address

9810 Patuxent Woods Dr
Suite C
Columbia, MD 21046-1595
Phone (410) 290-6432

Other identifiers 4

IdentifierTypeStateIssuer
KK48THOtherMDCAREFIRST BCBS OF MD
4609758OtherMDAETNA
554418000OtherMDMAGELLAN BEHAVIORAL HEALT
447531300MedicaidMD

National Provider Directory

National Provider Directory

Locations

10480 Little Patuxent Pkwy
Ste 920
Columbia, MD 21044
Phone (410) 290-6432

9810 Patuxent Woods Dr
Ste C
Columbia, MD 21046
Phone (410) 290-6432

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1174608000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1246406400000",
    "number": "1093832180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9810 PATUXENT WOODS DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461595",
            "telephone_number": "410-290-6432",
            "fax_number": "410-290-6604"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9810 PATUXENT WOODS DR",
            "address_2": "SUITE C",
            "city": "COLUMBIA",
            "state": "MD",
            "postal_code": "210461595",
            "telephone_number": "410-290-6432",
            "fax_number": "410-290-6604"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STTAR CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-23",
        "last_updated": "2009-07-01",
        "status": "A",
        "authorized_official_last_name": "DILLINGHAM",
        "authorized_official_first_name": "LORETTA",
        "authorized_official_middle_name": "JEANNIE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-290-6432"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BCBS OF MD",
            "identifier": "KK48TH",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4609758",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MAGELLAN BEHAVIORAL HEALT",
            "identifier": "554418000",
            "state": "MD"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "447531300",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2009; 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.