Chesapeake Center for Youth Development

Primary specialty

Clinical Social WorkerTaxonomy code 1041C0700X

License

09646 Issued in MD

Legal business name

CHESAPEAKE CENTER FOR YOUTH DEVELOPMENT

Doing business as

The Peak

Practice address

7477 Baltimore Annapolis Blvd
Suite 201
Glen Burnie, MD 21061-3504

Phone

(410) 766-9452

NPI assigned

Jul 13, 2014

Last updated

Jul 13, 2014By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Erica Rosen, LCSW-C

Title

Deputy Director Or Program Service

Phone

(410) 766-9452

Specialties & licenses 1

Addresses

Other names 1

• The Peak Doing business as

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

{
    "created_epoch": "1405209600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1405209600000",
    "number": "1639586530",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7477 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613504",
            "telephone_number": "410-766-9452"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7477 BALTIMORE ANNAPOLIS BLVD",
            "address_2": "SUITE 201",
            "city": "GLEN BURNIE",
            "state": "MD",
            "postal_code": "210613504",
            "telephone_number": "410-766-9452"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHESAPEAKE CENTER FOR YOUTH DEVELOPMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-07-13",
        "last_updated": "2014-07-13",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "DEPUTY  DIRECTOR OR PROGRAM SERVICE",
        "authorized_official_telephone_number": "410-766-9452",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "09646",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Peak",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Ritha Chea, MD
• Alton Chen
• Jiayan Chen, M.D., PH.D.
• Rebekah Chen, PA-C
• Carlethia Cherry-Cobb, RN
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Eye Care & Laser Center LLC
• Chesapeake Medical Associates, P.a.
• Chesapeake Oncology Hematology Assoc

• Clinical Social Worker in Glen Burnie, MD
• Providers in Glen Burnie, MD by specialty
• Clinical Social Worker in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2014; 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.