For the Healing of the Nations LLC

Primary specialty

Mental Health Clinic/Center (Including Community Mental Health Center)Taxonomy code 261QM0801X

Legal business name

FOR THE HEALING OF THE NATIONS LLC

Practice address

3635 Old Court Rd Ste 305
Pikesville, MD 21208-3907

Phone

(443) 717-0130

Fax

(443) 327-4753

NPI assigned

Sep 19, 2017

Organization subpart

No

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

Authorized official

Name

Ms. Suzanne M Matsko, LCSW-CNPI 1932228608

Title

Owner

Phone

(443) 717-0130

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MD

Enrollment records 1

Locations

Practitioners 4

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

• Suzanne Matsko, LCSW-C

  • Clinical Social Worker
  • Pikesville, MD
  • NPI 1932228608
  Medicare reassignment NPD Authorized official
• Stacey R Ezersky, LCSW C

  • Clinical Social Worker
  • Pikesville, MD
  • NPI 1689709800
  NPD
• Danica Lee Guttman, LCSWC BCD

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1841333184
  NPD (past)
• Lisa Kirshtein Schkloven, LCSW-C

  • Clinical Social Worker
  • Baltimore, MD
  • NPI 1861670788
  NPD (past)

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

{
    "created_epoch": "1505779200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1417476607",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 305",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083907",
            "telephone_number": "443-717-0130",
            "fax_number": "410-630-1008"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3635 OLD COURT RD STE 305",
            "city": "PIKESVILLE",
            "state": "MD",
            "postal_code": "212083907",
            "telephone_number": "443-717-0130",
            "fax_number": "443-327-4753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FOR THE HEALING OF THE NATIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-19",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "MATSKO",
        "authorized_official_first_name": "SUZANNE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "443-717-0130",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "105778200",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREFIRST BLUE CROSS",
            "identifier": "CX87-0001",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Geradin Fombah
• Sharrae Fontaine
• Akeera Donyell Foote
• Jordan Foote
• For Hope'S Sake, LLC.
• Cassidy L Ford
• Haley Ford
• Shelia Forrester
• Aisha Forson
• Naomi Trimone Fortune

• Mental Health Clinic/Center (Including Community Mental Health Center) in Pikesville, MD
• Providers in Pikesville, MD by specialty
• Mental Health Clinic/Center (Including Community Mental Health Center) in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.