NPIMap

Organization Active NPI

Lower Shore Clinic, Inc

  • Community/Behavioral Health Agency
  • Princess Anne, MD
National Provider Identifier
1760003347
Registry record updated May 5, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
LOWER SHORE CLINIC, INC
Practice address
11622 Beckford Ave
Princess Anne, MD 21853-1152
Phone
(410) 749-2924
NPI assigned
May 5, 2020
Organization subpart
Yes
Parent organization
LOWER SHORE CLINIC, INCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 5, 2020

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

Authorized official

Name
Kristine R Garlitz, LCSW-C
Title
Clinic Director
Phone
(410) 341-3420

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

11622 Beckford Ave
Princess Anne, MD 21853-1152

Mailing address

716 N Division St
Salisbury, MD 21801-4156
Phone (410) 546-7750

National Provider Directory

National Provider Directory
Tax ID family
Healthport15 organizations share this tax ID, including this one
Part of
Healthport

Other organizations with this tax ID 14

Organizations that report the same tax identification number in the National Provider Directory.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1588636800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1588636800000",
    "number": "1760003347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 N DIVISION ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014156",
            "telephone_number": "410-546-7750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11622 BECKFORD AVE",
            "city": "PRINCESS ANNE",
            "state": "MD",
            "postal_code": "218531152",
            "telephone_number": "410-749-2924"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOWER SHORE CLINIC, INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LOWER SHORE CLINIC, INC",
        "enumeration_date": "2020-05-05",
        "last_updated": "2020-05-05",
        "certification_date": "2020-05-05",
        "status": "A",
        "authorized_official_last_name": "GARLITZ",
        "authorized_official_first_name": "KRISTINE",
        "authorized_official_middle_name": "R",
        "authorized_official_title_or_position": "CLINIC DIRECTOR",
        "authorized_official_telephone_number": "410-341-3420",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Princess Anne, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2020; 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.