NPIMap

Organization Active NPI

Childrens Choice of Maryland, Inc

  • Clinical Social Worker
  • Chester, MD
National Provider Identifier
1245734987
Registry record updated Mar 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
CHILDRENS CHOICE OF MARYLAND, INC
Practice address
1563 Postal Rd
Chester, MD 21619-2299
Phone
(410) 643-9290
Fax
(410) 643-9293
NPI assigned
Mar 19, 2018
Last updated
Mar 19, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2018

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

Authorized official

Name
Leslie Ryon Allen, LCSW-CNPI 1740783646
Title
State Administrator
Phone
(410) 319-9681

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

1563 Postal Rd
Chester, MD 21619-2299

Mailing address

PO Box 535
Chester, MD 21619-0535
Phone (410) 643-9290

National Provider Directory

National Provider Directory
Tax ID family
Childrens Choice of Maryland Inc8 organizations share this tax ID, including this one

Other organizations with this tax ID 7

Organizations that report the same tax identification number in the National Provider Directory.

Locations

1563 Postal Rd
Chester, MD 21619
Phone (410) 643-9290

Practitioners & affiliated clinicians

Practitioners 1

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": "1521417600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1521417600000",
    "number": "1245734987",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 535",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216190535",
            "telephone_number": "410-643-9290",
            "fax_number": "410-643-9293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1563 POSTAL RD",
            "city": "CHESTER",
            "state": "MD",
            "postal_code": "216192299",
            "telephone_number": "410-643-9290",
            "fax_number": "410-643-9293"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDRENS CHOICE OF MARYLAND, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-03-19",
        "last_updated": "2018-03-19",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "LESLIE",
        "authorized_official_middle_name": "RYON",
        "authorized_official_title_or_position": "STATE ADMINISTRATOR",
        "authorized_official_telephone_number": "410-319-9681",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chester, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2018; 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.