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 |
| 1 | 101YM0800X | Counselor | Mental Health | 436 | MARYLAND | Yes |
| 2 | 1041C0700X | Social Worker | Clinical | 436 | MARYLAND | X |
Other Identifiers
The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.
| No. |
Other Provider Identifier |
Other Provider Identifier Type |
Other Provider Identifier State |
Other Provider Identifier Issuer |
| 1 | 221829 | OTHER | | KAISER |
| 2 | 2563636 | OTHER | | AUSHC HMO |
| 3 | 399549 01 | OTHER | | CAREFIRST BLUE CROSS MD |
| 4 | 5172448 | OTHER | | FIRST HEALTH NETWORK PPO |
| 5 | 116891 | OTHER | | APS |
| 6 | 081N959F | MEDICARE ID-TYPE UNSPECIFIED | MARYLAND | |
| 7 | 31492 | OTHER | | ALLIANCE |
| 8 | 31492 | OTHER | | MAMSI |
| 9 | 002 | OTHER | | TRICARE HEALTHNET |
| 10 | 299689 | OTHER | | MHN |
| 11 | 120520 | OTHER | | JOHN HOPKINS |
| 12 | 239519 | OTHER | | COMPSYCHE MANAGED HEALTH |
| 13 | 5119035 | OTHER | | AUSHC PPO |
| 14 | 85222 | OTHER | | CIGNA BEHAVIORAL HEALTH |
| 15 | 2867 0004 | OTHER | | CAREFIRST BLUE CROSS DC |
