NPIMap

Organization Active NPI

Potomac Case Management Services, Inc.

  • Mental Health Counselor
  • Frederick, MD
National Provider Identifier
1376919365
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Health CounselorTaxonomy code 101YM0800X
Legal business name
POTOMAC CASE MANAGEMENT SERVICES, INC.
Practice address
1446 W Patrick St Ste 16
Frederick, MD 21702-3201
Phone
(301) 791-3087
Fax
(301) 393-0730
NPI assigned
Aug 13, 2015
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Mrs. Dawn Renee Johns
Title
Executive Director
Phone
(301) 791-3087

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X Primary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X

Addresses

Primary practice location

1446 W Patrick St Ste 16
Frederick, MD 21702-3201

Mailing address

22 S Market St
Suite 4
Frederick, MD 21701-5570
Phone (301) 791-3087

Other identifiers 1

IdentifierTypeStateIssuer
880111800MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Potomac Case Management Services Inc7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

NPI Registry JSON

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

{
    "created_epoch": "1439424000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1376919365",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "22 S MARKET ST",
            "address_2": "SUITE 4",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217015570",
            "telephone_number": "301-791-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1446 W PATRICK ST STE 16",
            "city": "FREDERICK",
            "state": "MD",
            "postal_code": "217023201",
            "telephone_number": "301-791-3087",
            "fax_number": "301-393-0730"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "POTOMAC CASE MANAGEMENT SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-08-13",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-10",
        "status": "A",
        "authorized_official_last_name": "JOHNS",
        "authorized_official_first_name": "DAWN",
        "authorized_official_middle_name": "RENEE",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "301-791-3087",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880111800",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Frederick, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.