NPIMap

Organization Active NPI

Dundalk Youth Services Center

  • Clinical Social Worker
  • Baltimore, MD
National Provider Identifier
1861806978
Registry record updated Jun 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
11207 Issued in MD
Legal business name
DUNDALK YOUTH SERVICES CENTER
Practice address
2 N Dundalk Ave
2ND Floor
Baltimore, MD 21222-4221
Phone
(410) 288-4356
NPI assigned
Jun 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 17, 2014

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

Authorized official

Name
Keisha Atlee, LCSW-C
Title
Clinical Supervisor
Phone
(410) 288-4356

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 11207 MD Primary

Addresses

Primary practice location

2 N Dundalk Ave
2ND Floor
Baltimore, MD 21222-4221

Mailing address

2 N Dundalk Ave
2ND Floor
Baltimore, MD 21222-4221
Phone (410) 288-4356

National Provider Directory

National Provider Directory
Tax ID family
Dundalk Youth Services Center3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

NPI Registry JSON

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

{
    "created_epoch": "1402963200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1402963200000",
    "number": "1861806978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 N DUNDALK AVE",
            "address_2": "2ND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224221",
            "telephone_number": "410-288-4356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 N DUNDALK AVE",
            "address_2": "2ND FLOOR",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212224221",
            "telephone_number": "410-288-4356"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DUNDALK YOUTH SERVICES CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-06-17",
        "last_updated": "2014-06-17",
        "status": "A",
        "authorized_official_last_name": "ATLEE",
        "authorized_official_first_name": "KEISHA",
        "authorized_official_title_or_position": "CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "410-288-4356",
        "authorized_official_credential": "LCSW-C"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "11207",
            "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 Jun 17, 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.