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POTOMAC CASE MANAGEMENT SERVICES INC. NPI 1376919365


NPI Information

NPI: 1376919365
Provider Name: POTOMAC CASE MANAGEMENT SERVICES, INC.
Classification: Counselor - 101YM0800X
Entity Type: Organization

Specialization: Mental Health

Address:
1446 W PATRICK ST STE 16
FREDERICK, MD
ZIP 21702
Phone: (301) 791-3087
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POTOMAC CASE MANAGEMENT SERVICES, INC. is a mental health counselor in Frederick, MD. POTOMAC CASE MANAGEMENT SERVICES, INC. NPI is 1376919365. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1446 W PATRICK ST STE 16
FREDERICK, MD
ZIP 21702-201
Phone: (301) 791-3087
Fax: (301) 393-0730

The provider's authorized official is Dawn Renee Johns .
The authorized official title is Executive Director and has the following contact phone number (301) 791-3087.

The enumeration date for this NPI number is 8/13/2015 and was last updated on 2/10/2023.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11041C0700XSocial WorkerClinicalNo
2101YM0800XCounselorMental HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1880111800MEDICAIDMARYLAND

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: 4/28/2024

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