NPIMap

Organization Active NPI

Noleksmar Ventures LLC

Doing business as Pathways 4 Mental Health

  • Clinical Social Worker
  • Port Deposit, MD
National Provider Identifier
1770901555
Registry record updated Mar 31, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
15676 Issued in MD
Legal business name
NOLEKSMAR VENTURES LLC
Doing business as
Pathways 4 Mental Health
Practice address
56 Drier LN
Port Deposit, MD 21904-2010
Phone
(443) 207-1813
NPI assigned
Mar 31, 2014
Last updated
Mar 31, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2014

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

Authorized official

Name
Mrs. Shannon Lynn Baublitz-Smith, LCSW-CNPI 1811261720
Title
Ceo
Phone
(443) 207-1813

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 15676 MD Primary

Addresses

Primary practice location

56 Drier LN
Port Deposit, MD 21904-2010

Mailing address

56 Drier LN
Port Deposit, MD 21904-2010
Phone (443) 207-1813

Other names 1

  • Pathways 4 Mental Health Doing business as

National Provider Directory

National Provider Directory

Locations

102 E Cecil Ave
Ste 4
North East, MD 21901
Phone (443) 877-6959

Practitioners & affiliated clinicians

Practitioners 2

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": "1396224000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1396224000000",
    "number": "1770901555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56 DRIER LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219042010",
            "telephone_number": "443-207-1813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56 DRIER LN",
            "city": "PORT DEPOSIT",
            "state": "MD",
            "postal_code": "219042010",
            "telephone_number": "443-207-1813"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NOLEKSMAR VENTURES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-03-31",
        "last_updated": "2014-03-31",
        "status": "A",
        "authorized_official_last_name": "BAUBLITZ-SMITH",
        "authorized_official_first_name": "SHANNON",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "443-207-1813",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "15676",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pathways 4 Mental Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Port Deposit, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 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.