NPIMap

Organization Active NPI

Southern Maryland Community Network Inc

  • Case Management Agency
  • Waldorf, MD
National Provider Identifier
1922374651
Registry record updated Apr 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
SOUTHERN MARYLAND COMMUNITY NETWORK INC
Practice address
2670 Crain Hwy
Suite 505
Waldorf, MD 20601-2806
Phone
(301) 932-9146
Fax
(301) 932-9361
NPI assigned
Mar 27, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 5, 2017

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

Authorized official

Name
Karen E Carloni
Title
Executive Director
Phone
(410) 535-4787

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X MD Primary

Addresses

Primary practice location

2670 Crain Hwy
Suite 505
Waldorf, MD 20601-2806

Mailing address

PO Box 998
Prince Frederick, MD 20678-0998
Phone (410) 535-4787

Other identifiers 1

IdentifierTypeStateIssuer
4210603 00MedicaidMD

National Provider Directory

National Provider Directory
Tax ID family
Southern Maryland Community Network Inc14 organizations share this tax ID, including this one

Other organizations with this tax ID 13

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

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1332806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1491350400000",
    "number": "1922374651",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 998",
            "city": "PRINCE FREDERICK",
            "state": "MD",
            "postal_code": "206780998",
            "telephone_number": "410-535-4787",
            "fax_number": "410-535-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2670 CRAIN HWY",
            "address_2": "SUITE 505",
            "city": "WALDORF",
            "state": "MD",
            "postal_code": "206012806",
            "telephone_number": "301-932-9146",
            "fax_number": "301-932-9361"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTHERN MARYLAND COMMUNITY NETWORK INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-03-27",
        "last_updated": "2017-04-05",
        "status": "A",
        "authorized_official_last_name": "CARLONI",
        "authorized_official_first_name": "KAREN",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "410-535-4787"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": "MD",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4210603 00",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waldorf, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 5, 2017; 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.