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ETHLYNNE THOMAS LGSW NPI 1700209269


NPI Information

NPI: 1700209269
Provider Name: ETHLYNNE THOMAS, LGSW
Classification: Psychiatric Hospital - 283Q00000X
Entity Type: Individual

PECOS Registration: Yes

Address:
5601 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21239
Phone: (443) 444-3812
Get Directions

Ethlynne Thomas, LGSW is a psychiatric hospital in Baltimore, MD. The provider is an organization including a physical plant and personnel that provides multidisciplinary diagnostic and treatment mental health services to patients requiring the safety, security, and shelter of the inpatient or partial hospitalization settings. Ethlynne Thomas, LGSW NPI is 1700209269. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

5601 LOCH RAVEN BLVD
BALTIMORE, MD
ZIP 21239-945
Phone: (443) 444-3812

The NPI 1700209269 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment.

The enumeration date for this NPI number is 2/3/2014 and was last updated on 2/3/2014.


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
1283Q00000XPsychiatric Hospital17105MARYLANDYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.