Advanced Social Care Inc
Organization Active NPI Community/Behavioral Health Agency · Baltimore, MD
NPI 1811367352 · NPPES record last updated Jul 13, 2021
Key facts
- NPI
- 1811367352
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Community/Behavioral Health Agency 251S00000X
- Legal business name
- ADVANCED SOCIAL CARE INC
- Practice address
- 312 N Charles St Ste 300
Baltimore, MD 21201-4322 - Phone
- (919) 808-2305
- NPI assigned
- Sep 27, 2015
- Organization subpart
- No
Authorized official
- Name
- Yolonda Edgerton, MSW, LCSW, LCAS, CCS
- Title
- Ceo
- Phone
- (252) 679-6605
Practitioners 1
-
Yolonda M. Edgerton, SAC
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MD
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20210713002282 | MD | Part B Supplier - Clinic/Group Practice | 7517369564 |
Receives reassigned benefits from 1 practitioner Practice locations: Baltimore, MD |
National Provider Directory
Locations
1903 Pass Rd
Ste E
Biloxi, MS 39531
Phone (228) 209-9482
6430 Richmond Ave
Ste 420
Houston, TX 77057
Phone (252) 679-6605
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | |||
| Home Health Agency | 251E00000X | |||
| Community/Behavioral Health Agency | 251S00000X | Yes |
Addresses
Primary practice location
312 N Charles St Ste 300
Baltimore, MD 21201-4322
Mailing address
3733 Althorp Dr
Raleigh, NC 27616-8457
Other practice location 1
1903 Pass Rd Ste E
Biloxi, MS 39531-4120
Phone (919) 808-2305
Other practice location 2
6430 Richmond Ave Ste 420
Houston, TX 77057-5920
Phone (919) 808-2305
Other practice location 3
6116 Rolling Rd
Springfield, VA 22152-1521
Phone (919) 808-2305
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 13, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.