Maryland Comprehensive Care Center LLC

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

12668 Issued in MD

Legal business name

MARYLAND COMPREHENSIVE CARE CENTER LLC

Practice address

314 Civic Ave
Salisbury, MD 21804-5230

Phone

(410) 219-5070

NPI assigned

Jun 29, 2012

Organization subpart

No

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

Authorized official

Name

Jenny Rowe, LCPC

Title

Partner

Phone

(410) 219-5070

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1340928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1174887582",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "314 CIVIC AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 CIVIC AVE",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218045230",
            "telephone_number": "410-219-5070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARYLAND COMPREHENSIVE CARE CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-29",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "ROWE",
        "authorized_official_first_name": "JENNY",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "410-219-5070",
        "authorized_official_credential": "LCPC"
    },
    "taxonomies": [
        {
            "code": "101YP2500X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC2192",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "12668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Clinical Social Worker in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 29, 2012; 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.