NPIMap

Organization Active NPI

Baltimore Clinical Group

  • Clinical Social Worker
  • Balto, MD
National Provider Identifier
1124172630
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
BALTIMORE CLINICAL GROUP
Practice address
3635 Old Court Rd
Suite 210
Balto, MD 21208
Phone
(410) 653-9356
Fax
(410) 321-9371
NPI assigned
Jan 22, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 27, 2008

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

Authorized official

Name
Mr. Paul L Timin, LCSW C MSWNPI 1649324179
Title
Co Director & Partner
Phone
(410) 653-9356

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X MD Primary

Addresses

Primary practice location

3635 Old Court Rd
Suite 210
Balto, MD 21208

Mailing address

3635 Old Court Rd
Suite 210
Balto, MD 21208
Phone (410) 653-9356

National Provider Directory

National Provider Directory

Locations

3635 Old Court Rd
Ste 210
Pikesville, MD 21208
Phone (410) 653-2794

Practitioners & affiliated clinicians

Practitioners 3

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

NPI Registry JSON

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

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214524800000",
    "number": "1124172630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "SUITE 210",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-9356",
            "fax_number": "410-321-9371"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD",
            "address_2": "SUITE 210",
            "city": "BALTO",
            "state": "MD",
            "postal_code": "21208",
            "telephone_number": "410-653-9356",
            "fax_number": "410-321-9371"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BALTIMORE CLINICAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-22",
        "last_updated": "2008-06-27",
        "status": "A",
        "authorized_official_last_name": "TIMIN",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CO DIRECTOR & PARTNER",
        "authorized_official_telephone_number": "410-653-9356",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "LCSW C MSW"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Balto, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 2008; 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.