Provider Type Icon

LUTHERAN MISSION SOCIETY OF MARYLAND NPI 1861749319


NPI Information

NPI: 1861749319
Provider Name: LUTHERAN MISSION SOCIETY OF MARYLAND

Doing Business As: COMPASSIONATE GRACE COUNSELING CENTER

Classification: Social Worker - 1041C0700X
Entity Type: Organization

Specialization: Clinical

Address:
601 HAMMONDS LN
BALTIMORE, MD
ZIP 21225
Phone: (410) 636-0123
Get Directions

LUTHERAN MISSION SOCIETY OF MARYLAND is a clinical social worker in Baltimore, MD. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. LUTHERAN MISSION SOCIETY OF MARYLAND NPI is 1861749319. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Compassionate Grace Counseling Center.

The provider's business location address is:

601 HAMMONDS LN
BALTIMORE, MD
ZIP 21225-330
Phone: (410) 636-0123
Fax: (410) 636-6984

The provider's authorized official is Justin Griepentrog .
The authorized official title is Program Director and has the following contact phone number (410) 636-0123.

The enumeration date for this NPI number is 8/14/2012 and was last updated on 1/20/2015.


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 WorkerClinicalYes

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
1815091OTHERMARYLANDVALUE OPTIONS
2AV09OTHERMARYLANDBCBS CAREFIRST OF MD
3600782589OTHERMARYLANDMAGELLAN

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.