David Engwall

Primary specialty

Professional CounselorTaxonomy code 101YP2500X

License

LC5383 Issued in MD

Practice address

2117 Maryland Ave
Baltimore, MD 21218-5614

Phone

(410) 837-4292

NPI assigned

Mar 2, 2010

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Alan Geringer, MD LLC

  • Urology Physician
  • Baltimore, MD
  • NPI 1376147785
  NPD (past)

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

{
    "created_epoch": "1267488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1563235200000",
    "number": "1982927117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1504 DORCHESTER AVE",
            "city": "GWYNN OAK",
            "state": "MD",
            "postal_code": "212075021",
            "telephone_number": "443-509-3636"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2117 MARYLAND AVE",
            "city": "BALTIMORE",
            "state": "MD",
            "postal_code": "212185614",
            "telephone_number": "410-837-4292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "107 Ridgely Ave",
            "address_purpose": "LOCATION",
            "city": "Annapolis",
            "state": "MD",
            "postal_code": "214011417",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "601 7th St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Laurel",
            "state": "MD",
            "postal_code": "207074011",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 S Dundalk Ave Ste 400",
            "address_purpose": "LOCATION",
            "city": "Dundalk",
            "state": "MD",
            "postal_code": "212224273",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "40 York Rd",
            "address_purpose": "LOCATION",
            "city": "Towson",
            "state": "MD",
            "postal_code": "212045243",
            "country_code": "US",
            "telephone_number": "410-220-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2117 Maryland Ave",
            "address_purpose": "LOCATION",
            "city": "Baltimore",
            "state": "MD",
            "postal_code": "212185614",
            "country_code": "US",
            "telephone_number": "410-837-4292 x100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ENGWALL",
        "first_name": "DAVID",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-03-02",
        "last_updated": "2019-07-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101YA0400X",
            "taxonomy_group": "",
            "desc": "Counselor, Addiction (Substance Use Disorder)",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": "MD",
            "license": "LC5383",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "258712200",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Zakira English
• Brian Robert Englum
• Christine Anne Engstrom, CRNP
• Karen A Engstrom, M.D.
• Brooke Engwall, LCPC
• Temiloluwa Eniola
• Eyitayo Enitan
• Enkindle Village, LLC
• Len E. Ennis, M.D.
• Samantha Enns, LMSW

• Professional Counselor in Baltimore, MD
• Providers in Baltimore, MD by specialty
• Professional Counselor in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2019; 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.