NPIMap

Organization Active NPI

University of Maryland Medical Center

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1306130117
Registry record updated Jun 9, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
16439 Issued in MD
Legal business name
UNIVERSITY OF MARYLAND MEDICAL CENTER
Practice address
611 S Charles St
Suite 4
Baltimore, MD 21230-3801
Phone
(410) 328-2292
NPI assigned
Jun 9, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2011

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

Authorized official

Name
Miss Manda S Brooks, LCSW-C
Title
Social Worker II/Team Leader
Phone
(410) 422-7142

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 16439 MD Primary

Addresses

Primary practice location

611 S Charles St
Suite 4
Baltimore, MD 21230-3801

Mailing address

611 S Charles St
Suite 4
Baltimore, MD 21230-3801
Phone (410) 328-2292

National Provider Directory

National Provider Directory

Locations

611 S Charles St
Ste 4
Baltimore, MD 21230
Phone (410) 328-2292

NPI Registry JSON

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

{
    "created_epoch": "1307577600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1307577600000",
    "number": "1306130117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 S CHARLES ST",
            "address_2": "SUITE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303801",
            "telephone_number": "410-328-2292"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "611 S CHARLES ST",
            "address_2": "SUITE 4",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212303801",
            "telephone_number": "410-328-2292"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UNIVERSITY OF MARYLAND MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-09",
        "last_updated": "2011-06-09",
        "status": "A",
        "authorized_official_last_name": "BROOKS",
        "authorized_official_first_name": "MANDA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "SOCIAL WORKER II/TEAM LEADER",
        "authorized_official_telephone_number": "410-422-7142",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16439",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baltimore, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2011; 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.