Succor Transitional Program, Inc.

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

16481 Issued in MD

Legal business name

SUCCOR TRANSITIONAL PROGRAM, INC.

Practice address

1001 Pine Heights Ave Ste 303
Baltimore, MD 21229-5202

Phone

(443) 219-7901

Fax

(443) 835-2521

NPI assigned

Jun 15, 2017

Organization subpart

No

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

Authorized official

Name

Ahmein Watson, LCSW-C, LCADCNPI 1588938237

Title

Executive Director

Phone

(443) 219-7901

Specialties & licenses 1

Addresses

Practitioners 1

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

• Ahmein Watson, LCSW-C, LCADC

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1588938237
  NPD Authorized official

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

{
    "created_epoch": "1497484800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1696377600000",
    "number": "1306376058",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295202",
            "telephone_number": "443-219-7901",
            "fax_number": "443-835-2521"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 PINE HEIGHTS AVE STE 303",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212295202",
            "telephone_number": "443-219-7901",
            "fax_number": "443-835-2521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCOR TRANSITIONAL PROGRAM, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-06-15",
        "last_updated": "2023-10-04",
        "certification_date": "2021-03-16",
        "status": "A",
        "authorized_official_last_name": "WATSON",
        "authorized_official_first_name": "AHMEIN",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "443-219-7901",
        "authorized_official_credential": "LCSW-C, LCADC"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "16481",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Suburban Mental Health Associates
• Rebecca Suburu, PHARMD
• Farah Succaria, MD
• Success Starts Here
• Successful Resolutions
• Vikas Sud, MBBS
• Shalini Amrit Sudama, DPM
• Natesh Natarajan Sudarshan
• Siva Keerthana Suddapalli
• Shruti Sudhakar, MD

• Clinical Social Worker in Baltimore, MD
• Providers in Baltimore, 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 Oct 4, 2023; 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.