Active NPI
Linda Van Sciver Rodriguez, LCSW-C
- Mental Health Counselor
- Baltimore, MD
National Provider Identifier
1457793184
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Mental Health Counselor
- License
- 16140
- Practice address
- 1202 Maryland Ave
Maryland Physician Health Program
Baltimore, MD 21201-5512 - Phone
- (410) 962-5580
- Fax
- (410) 962-5583
- NPI assigned
- Jul 23, 2013
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | 16140 | Primary |
Addresses
Primary practice location
1202 Maryland Ave
Maryland Physician Health Program
Baltimore, MD 21201-5512
Mailing address
1202 Maryland Ave
Maryland Physician Health Program
Baltimore, MD 21201-5512
Phone (410) 962-5580
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 16140 | Other | MD | MARYLAND BOARD OF SOCIAL WORK, LCSW-C |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1374537600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374537600000",
"number": "1457793184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1202 MARYLAND AVE",
"address_2": "MARYLAND PHYSICIAN HEALTH PROGRAM",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015512",
"telephone_number": "410-962-5580",
"fax_number": "410-962-5583"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1202 MARYLAND AVE",
"address_2": "MARYLAND PHYSICIAN HEALTH PROGRAM",
"city": "BALTIMORE",
"state": "MD",
"postal_code": "212015512",
"telephone_number": "410-962-5580",
"fax_number": "410-962-5583"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RODRIGUEZ",
"first_name": "LINDA",
"middle_name": "VAN SCIVER",
"name_prefix": "Ms.",
"credential": "LCSW-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-23",
"last_updated": "2013-07-23",
"status": "A"
},
"taxonomies": [
{
"code": "101YM0800X",
"taxonomy_group": "",
"desc": "Counselor, Mental Health",
"state": null,
"license": "16140",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MARYLAND BOARD OF SOCIAL WORK, LCSW-C",
"identifier": "16140",
"state": "MD"
}
],
"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 Jul 23, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.