PROJECT CHESAPEAKE LLC (NPI# 1033574678) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1033574678 |
| Entity Type | Organization |
| Organization Name | PROJECT CHESAPEAKE LLC |
| Practice Address |
34 Defense St 001 Annapolis MD 21401-3577 |
| Practice Telephone | 4432145097 |
| Practice Fax Number | 4433788538 |
| Mailing Telephone | 4432145097 |
| Mailing Fax Number | 4433788538 |
| Enumeration Date | 2015-12-28 |
| Last Update Date | 2019-05-01 |
| Authorized Official Name | REBEKHA ROGERS (CLINICAL DIRECTOR) |
| Authorized Official Telephone | 4432145097 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251S00000X | Community/Behavioral Health | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 423286100 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588112221 | Project Chesapeake LLC | Social Worker | 69 Sherry Ln Ste 2, Prince Frederick, MD 20678-3231 | 2016-09-12 |
| 1982152500 | Project Chesapeake LLC | Social Worker | 26845 Point Lookout Rd Ste 1, Leonardtown, MD 20650-4935 | 2016-09-12 |
| 1225490808 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-03-23 |
| 1548789985 | Project Chesapeake LLC | Social Worker | 21 Industrial Park Dr, Unit 103c, Waldorf, MD 20602-2751 | 2017-09-18 |
| 1306398201 | Project Chesapeake LLC | Social Worker | 26845 Point Lookout Rd, Leonardtown, MD 20650-4935 | 2016-10-27 |
| 1912459017 | Project Chesapeake LLC | Social Worker | 131 Main St, Ste 2, Prince Frederick, MD 20678-3336 | 2016-10-25 |
| 1366990012 | Project Chesapeake LLC | Social Worker | 111 E Main St, Suite B, Elkton, MD 21921-5996 | 2016-09-12 |
| 1053760421 | Project Chesapeake LLC | Social Worker | 34 Defense St, 001, Annapolis, MD 21401-3577 | 2016-06-07 |
| 1154770527 | Project Chesapeake LLC | Social Worker | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 2016-06-07 |
| Street Address |
34 DEFENSE ST 001 |
| City | ANNAPOLIS |
| State | MD |
| Zip Code | 21401-3577 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134539208 | Project Chesapeake, LLC | Community/Behavioral Health | 34 Defense St, Suite 001, Annapolis, MD 21401-3577 | 2014-04-29 |
| 1275190290 | Duane Eggerman | Social Worker | 34 Defense St, Annapolis, MD 21401-3577 | 2019-05-24 |
| 1588170062 | Gretchen Gauthier | Counselor | 34 Defense St, Annapolis, MD 21401-3577 | 2017-12-20 |
| 1053760421 | Project Chesapeake LLC | Social Worker | 34 Defense St, 001, Annapolis, MD 21401-3577 | 2016-06-07 |
| 1962810473 | Rebekha Rogers | Social Worker | 34 Defense St, Suite 001, Annapolis, MD 21401-3577 | 2014-07-28 |
| 1891100467 | Stacy Gillen | Social Worker | 34 Defense St, Annapolis, MD 21401-3577 | 2014-06-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497377154 | Michael Khorsandi | Student in an Organized Health Care Education/Training Program | 2001 Medical Parkway, Clatanoff Pavillon, Gmw Office, Annapolis, MD 21401 | 2020-05-15 |
| 1275172033 | Katrice N Nelson | Massage Therapist | Wellsview Cottage Center, 613 Ridgely Avenue, Annapolis, MD 21401 | 2019-12-27 |
| 1548803521 | Victoria Reimnitz | Behavioral Analyst | 2028 Indusrtrial Dr, Ste B&c, Annapolis, MD 21401 | 2019-10-23 |
| 1700438140 | Emily Megan Burke | Nurse Practitioner | 200 Forbes St Annapolis, Md 21401, Suite 200, Annapolis, MD 21401 | 2019-07-16 |
| 1316504848 | Sherina Maryam Shamsa | Counselor | 1830 Forest Drive, Suite H-2, Annapolis, MD 21401 | 2019-05-21 |
| 1497225288 | Jerilyn Deitch | Speech-Language Pathologist | Anne Arundel County Public Schools, 2644 Riva Rd, Annapolis, MD 21401 | 2018-12-05 |
| 1487124038 | Lucinda W Mimms | Speech-Language Pathologist | 2644 Riva Rd., Annapolis, MD 21401 | 2018-11-27 |
| 1487145496 | Michelle Baudean | Behavior Technician | 1919 West St Ste 201, Annapolis, MD 21401 | 2018-05-24 |
| 1730678954 | Stephanie Ruth Streb | Registered Nurse | 130 Admiral Cochrane Dr Ste 103, Annapolis, MD 21401 | 2018-05-02 |
| 1780183947 | Annapolis Sleep Center LLC | Clinic/Center | 2451 Riva Rd, Annapolis, MD 21401 | 2018-02-02 |
| Find all providers in zip 21401 | ||||
| Taxonomy Code | 251S00000X |
| Grouping | Agencies |
| Classification | Community/Behavioral Health |
| A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, mental retardation, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. |
| Notes: Source: National Medicaid EDI HIPAA NPI Sub Work Group [1/1/2007: modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1962034728 | Harbour House, Inc | Community/Behavioral Health | 15 Oak Ct, Annapolis, MD 21401-7017 | 2020-02-10 |
| 1952814154 | Familyvisions LLC | Community/Behavioral Health | 77 West St Ste 100, Annapolis, MD 21401-2449 | 2017-11-09 |
| 1912443615 | Maryland Health Services | Community/Behavioral Health | 1125 West St Ste 213, Annapolis, MD 21401-3607 | 2017-01-18 |
| 1659734531 | All Joshua, LLC | Community/Behavioral Health | 2568a Riva Road, Suite 202, Annapolis, MD 21401 | 2016-03-30 |
| 1700274826 | Allen-ayuk Behavioral Health Center | Community/Behavioral Health | 2525 Riva Rd Ste 139, Annapolis, MD 21401-7467 | 2014-12-23 |
| 1346644085 | Arundel Lodge, Inc | Community/Behavioral Health | 1819 Bay Ridge Ave Ste 220, Annapolis, MD 21403-2835 | 2014-10-09 |
| 1134539208 | Project Chesapeake, LLC | Community/Behavioral Health | 34 Defense St, Suite 001, Annapolis, MD 21401-3577 | 2014-04-29 |
| 1720604960 | Urban Institute of Mental Health | Community/Behavioral Health | 1910 Towne Centre Blvd Ste 250, Annapolis, MD 21401-3599 | 2020-06-23 |
| 1437778586 | Harbour House, Inc | Community/Behavioral Health | 10 Oak Ct, Annapolis, MD 21401-7017 | 2020-04-09 |
| 1841840808 | Matclinic Physicians Practice Group LLC | Community/Behavioral Health | 107 Ridgely Ave Ste 12, Annapolis, MD 21401-1417 | 2019-09-12 |
| Find all providers in ANNAPOLIS | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.