MR. ANTHONY TERRELL MCCORMICK NPI 1083512990

NPI Information

  • NPI: 1083512990
  • Provider Name: MR. ANTHONY TERRELL MCCORMICK
  • Classification: Peer Specialist - 175T00000X
  • Entity Type: Individual
  • Address: 1002 E LAKE AVE APT 1
    BALTIMORE, MD
    ZIP 21212
  • Phone: (443) 869-2404

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NPI Details

MR. Anthony Terrell Mccormick is a peer specialist in Baltimore, MD. The provider is individuals certified to perform peer support services through a training process defined by a government agency, such as the Department of Veterans Affairs or a state mental health department/certification/licensing authority. MR. Anthony Terrell Mccormick NPI is 1083512990. The provider is registered as an individual entity type and is a single specialty group.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1002 E LAKE AVE APT 1
BALTIMORE, MD
ZIP 21212-142
Phone: (443) 869-2404

The enumeration date for this NPI number is 10/29/2026 and was last updated on 10/29/2026.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1175T00000XPeer SpecialistRPS1083MARYLANDYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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