Wicomico County Health Department

Primary specialty

Addiction (Substance Use Disorder) CounselorTaxonomy code 101YA0400X

Legal business name

WICOMICO COUNTY HEALTH DEPARTMENT

Practice address

203 Newton St
Salisbury, MD 21801-5452

Phone

(410) 543-6930

NPI assigned

Feb 1, 2018

Organization subpart

No

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

Authorized official

Name

Mr. Matthew McConaughey, MPH

Title

Health Officer

Phone

(410) 543-6930

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MD

Opioid treatment program

Medicare-enrolled since Jan 1, 2020

Enrollment records 1

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Wicomico County Health Department

  • Public Health or Welfare Agency
  • Salisbury, MD
  • NPI 1013286111

  3779544952

  Same PAC ID
• Wicomico County Health Department

  • Public Health or Welfare Agency
  • Salisbury, MD
  • NPI 1790866432

  3779544952

  Same PAC ID

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Wicomico County Health Department

  • Addiction (Substance Use Disorder) Counselor
  • Salisbury, MD
  • NPI 1568960854

  O20200409000064

  Same enrollment

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Halter, LCSW-C

  • Clinical Social Worker
  • Salisbury, MD
  • NPI 1417118167
  NPD

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

{
    "created_epoch": "1517443200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1722988800000",
    "number": "1912405200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 E MAIN ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218014921",
            "telephone_number": "410-543-6930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 NEWTON ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015452",
            "telephone_number": "410-543-6930"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WICOMICO COUNTY HEALTH DEPARTMENT",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-01",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A",
        "authorized_official_last_name": "MCCONAUGHEY",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "HEALTH OFFICER",
        "authorized_official_telephone_number": "410-543-6930",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "261QM2800X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Methadone",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "XXXXXXX",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Wicomico County Health Department
• Wicomico County Health Department
• Wicomico County Health Department
• Wicomico County Health Department
• Wicomico County Health Department
• Wicomico County Health Department
• Wicomico County Health Dept
• Wicomico County Health Dept
• Wicomico Nursing Home
• Jeffrey M Wieland, M.D.

• Addiction (Substance Use Disorder) Counselor in Salisbury, MD
• Providers in Salisbury, MD by specialty
• Addiction (Substance Use Disorder) Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.