NPIMap

Organization Active NPI

Safe Harbor Christian Counseling of Annapolis Inc

  • Clinical Social Worker
  • Arnold, MD
National Provider Identifier
1447407523
Registry record updated Dec 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS INC
Practice address
461 College Parkway
Arnold, MD 21012
Phone
(410) 263-0222
Fax
(443) 640-4358
NPI assigned
Aug 20, 2008
Last updated
Dec 5, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 5, 2017

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

Authorized official

Name
Selena EldridgeNPI 1417080789
Title
Director Owner
Phone
(410) 807-2626

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X NU
Clinical Social Worker 1041C0700X NU Primary

Addresses

Primary practice location

461 College Parkway
Arnold, MD 21012

Mailing address

946 Nabbs Creek Road
Glen Burnie, MD 21060-8434
Phone (410) 263-0222

Other identifiers 1

IdentifierTypeStateIssuer
662112100MedicaidMD

National Provider Directory

National Provider Directory

Locations

55 West Ave
Ocean View, DE 19970

81 Central Ave
Ocean View, DE 19970

108 Old Solomons Island Rd
Annapolis, MD 21401
Phone (410) 266-8345

1592 Whitehall Rd
Annapolis, MD 21409

16010 Annapolis Rd
Bowie, MD 20715
Phone (410) 212-3197

337 W Central Ave
Davidsonville, MD 21035

8258 Veterans Hwy
Ste 10
Millersville, MD 21108

877 Baltimore Annapolis Blvd
Severna Park, MD 21146
Phone (410) 210-4689

Practitioners & affiliated clinicians

Practitioners 9

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1219190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512432000000",
    "number": "1447407523",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "946 NABBS CREEK ROAD",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210608434",
            "telephone_number": "410-263-0222",
            "fax_number": "443-640-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "461 COLLEGE PARKWAY",
            "city": "ARNOLD",
            "state": "MD",
            "postal_code": "21012",
            "telephone_number": "410-263-0222",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING OF ANNAPOLIS INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-20",
        "last_updated": "2017-12-05",
        "status": "A",
        "authorized_official_last_name": "ELDRIDGE",
        "authorized_official_first_name": "SELENA",
        "authorized_official_title_or_position": "DIRECTOR OWNER",
        "authorized_official_telephone_number": "410-807-2626"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "662112100",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Arnold, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2017; 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.