NPIMap

Organization Active NPI

Inspiration Mentoring Project, LLC

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1598070682
Registry record updated Aug 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
04078 Issued in MD
Legal business name
INSPIRATION MENTORING PROJECT, LLC
Practice address
3711 Eastern Ave
B
Baltimore, MD 21224-4208
Phone
(443) 528-5908
Fax
(443) 327-6525
NPI assigned
Aug 12, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2010

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

Authorized official

Name
Mrs. Lisa M Gresham Wilson
Title
Dir Adm
Phone
(443) 528-5908

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193400000X SINGLE SPECIALTY GROUP 1041C0700X 04078 MD Primary

Addresses

Primary practice location

3711 Eastern Ave
B
Baltimore, MD 21224-4208

Mailing address

3711 Eastern Ave
B
Baltimore, MD 21224-4208
Phone (443) 528-5908

National Provider Directory

National Provider Directory

Locations

3711 Eastern Ave
#B
Baltimore, MD 21224
Phone (443) 528-5908

NPI Registry JSON

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

{
    "created_epoch": "1281571200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1281571200000",
    "number": "1598070682",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3711 EASTERN AVE",
            "address_2": "B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244208",
            "telephone_number": "443-528-5908",
            "fax_number": "443-327-6525"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3711 EASTERN AVE",
            "address_2": "B",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212244208",
            "telephone_number": "443-528-5908",
            "fax_number": "443-327-6525"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INSPIRATION MENTORING PROJECT, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-12",
        "last_updated": "2010-08-12",
        "status": "A",
        "authorized_official_last_name": "GRESHAM WILSON",
        "authorized_official_first_name": "LISA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIR ADM",
        "authorized_official_telephone_number": "443-528-5908",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "04078",
            "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 Aug 12, 2010; 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.