Organization Active NPI

Advanced Social Care Inc

  • Community/Behavioral Health Agency
  • Baltimore, MD
National Provider Identifier
1811367352
Registry record updated Jul 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 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
Last updated
Jul 13, 2021By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2021

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

Authorized official

Name
Yolonda Edgerton, MSW, LCSW, LCAS, CCSNPI 1184740151
Title
Ceo
Phone
(252) 679-6605

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X
Home Health Agency 251E00000X
Community/Behavioral Health Agency 251S00000X Primary

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

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210713002282 MD Part B Supplier - Clinic/Group Practice 7517369564 Receives reassigned benefits from 1 practitioner
Practice locations: Baltimore, MD

National Provider Directory

National Provider Directory

Locations

1903 Pass Rd
Ste E
Biloxi, MS 39531
Phone (228) 594-9010

6430 Richmond Ave
Ste 420
Houston, TX 77057
Phone (252) 679-6605

Practitioners & affiliated clinicians

Practitioners 1

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": "1443312000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1626134400000",
    "number": "1811367352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3733 ALTHORP DR",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276168457"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "312 N CHARLES ST STE 300",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212014322",
            "telephone_number": "919-808-2305"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1903 Pass Rd Ste E",
            "address_purpose": "LOCATION",
            "city": "Biloxi",
            "state": "MS",
            "postal_code": "395314120",
            "country_code": "US",
            "telephone_number": "919-808-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6430 Richmond Ave Ste 420",
            "address_purpose": "LOCATION",
            "city": "Houston",
            "state": "TX",
            "postal_code": "770575920",
            "country_code": "US",
            "telephone_number": "919-808-2305",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6116 Rolling Rd",
            "address_purpose": "LOCATION",
            "city": "Springfield",
            "state": "VA",
            "postal_code": "221521521",
            "country_code": "US",
            "telephone_number": "919-808-2305",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "ADVANCED SOCIAL CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-27",
        "last_updated": "2021-07-13",
        "certification_date": "2021-07-13",
        "status": "A",
        "authorized_official_last_name": "EDGERTON",
        "authorized_official_first_name": "YOLONDA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "252-679-6605",
        "authorized_official_credential": "MSW, LCSW, LCAS, CCS"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "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 Jul 13, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.