NPIMap

Organization Active NPI

Dundalk Youth Service Center

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1376803346
Registry record updated May 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
13660 Issued in MD
Legal business name
DUNDALK YOUTH SERVICE CENTER
Practice address
2660 Yorkway
Baltimore, MD 21222-4432
Phone
(410) 288-4356
NPI assigned
May 23, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 23, 2012

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

Authorized official

Name
Jennifer McCannNPI 1457610057
Title
Clinical Supervisor
Phone
(410) 288-4356

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: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 13660 MD Primary

Addresses

Primary practice location

2660 Yorkway
Baltimore, MD 21222-4432

Mailing address

2660 Yorkway
Baltimore, MD 21222-4432
Phone (410) 288-4356

National Provider Directory

National Provider Directory
Tax ID family
Dundalk Youth Services Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

2660 Yorkway
Baltimore, MD 21222
Phone (410) 288-4356

Practitioners & affiliated clinicians

Practitioners 1

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": "1337731200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1337731200000",
    "number": "1376803346",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2660 YORKWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224432",
            "telephone_number": "410-288-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2660 YORKWAY",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224432",
            "telephone_number": "410-288-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK YOUTH SERVICE CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-05-23",
        "last_updated": "2012-05-23",
        "status": "A",
        "authorized_official_last_name": "MCCANN",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "410-288-4356"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "13660",
            "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 May 23, 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.