NPIMap

Organization Active NPI

Safe Harbor Christian Counseling of Cecil County

  • Clinical Social Worker
  • Elkton, MD
National Provider Identifier
1972876282
Registry record updated Oct 5, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
SAFE HARBOR CHRISTIAN COUNSELING OF CECIL COUNTY
Practice address
718 Bridge Street
Elkton, MD 21921-5310
Phone
(410) 893-4600
Fax
(443) 640-4358
NPI assigned
Feb 16, 2012
Last updated
Oct 5, 2015By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 5, 2015

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

Authorized official

Name
Melissa Garci
Title
Credentialing Coordinator
Phone
(410) 893-4600

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X 08492 MD
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary

Addresses

Primary practice location

718 Bridge Street
Elkton, MD 21921-5310

Mailing address

P.O. Box 109
Bel Air, MD 21014-3485
Phone (410) 893-4600

National Provider Directory

National Provider Directory

Locations

290 Whitehall Rd
Elkton, MD 21921

206 Mechanics Valley Rd
North East, MD 21901
Phone (301) 648-6689

Practitioners & affiliated clinicians

Practitioners 3

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": "1329350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1444003200000",
    "number": "1972876282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 109",
            "city": "BEL AIR",
            "state": "MD",
            "postal_code": "210143485",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 BRIDGE STREET",
            "city": "ELKTON",
            "state": "MD",
            "postal_code": "219215310",
            "telephone_number": "410-893-4600",
            "fax_number": "443-640-4358"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAFE HARBOR CHRISTIAN COUNSELING OF CECIL COUNTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-16",
        "last_updated": "2015-10-05",
        "status": "A",
        "authorized_official_last_name": "GARCI",
        "authorized_official_first_name": "MELISSA",
        "authorized_official_title_or_position": "CREDENTIALING COORDINATOR",
        "authorized_official_telephone_number": "410-893-4600"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": "MD",
            "license": "08492",
            "primary": false
        },
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkton, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2015; 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.