WARWICK MANOR BEHAVIORAL HEALTH (NPI# 1083918940) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083918940 |
| Entity Type | Organization |
| Organization Name | WARWICK MANOR BEHAVIORAL HEALTH |
| Practice Address |
220 E Main St Ste A Salisbury MD 21801-5044 |
| Practice Telephone | 4108609600 |
| Enumeration Date | 2011-01-06 |
| Last Update Date | 2011-01-06 |
| Authorized Official Name | TARA CLENDANIEL (COUNSELOR) |
| Authorized Official Telephone | 4108609600 |
| Authorized Official Credential | CSC-AD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | SC1659 | MD | Residential Treatment Facilities |
| Street Address |
220 E MAIN ST STE A |
| City | SALISBURY |
| State | MD |
| Zip Code | 21801-5044 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851358105 | Anthony J Kirtsos Jr. | Social Worker | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2006-04-28 |
| 1356645568 | Megan Sckupakus | Substance Abuse Rehabilitation Facility | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2011-01-03 |
| 1417250093 | Keith Richardson | Counselor | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2010-12-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487263760 | Patricia Ann Nativio | Specialist/Technologist | University of Maryland University Eastern Shore, William P Hytche Athletic Center, Princess Anne, MD 21801 | 2020-07-23 |
| 1710516315 | Launa Duffy | Counselor | 1300 East Carroll St, Salisbury, MD 21801 | 2020-04-06 |
| 1275161960 | Zion Wellness Center | Psychiatry & Neurology | 2324 West Zion Road Unit 110, Salisbury, MD 21801 | 2020-03-30 |
| 1508404997 | Pridgett Harmon | Counselor | 2324 West Zion Road, Suite 112, Salisbury Md, MD 21801 | 2019-12-16 |
| 1821646324 | Diane Palmer | Counselor | 2324 West Zion Rd., Suit 112, Salisbury, MD 21801 | 2019-08-28 |
| 1558923672 | Oc Wellness LLC | Nurse Practitioner | 1410 S Salisbury Blvd Unit 1, Salisbury, MD 21801 | 2019-06-28 |
| 1033686670 | Megan Insley | Speech-Language Pathologist | 1213 Emeron Ave, Salisbury, MD 21801 | 2018-11-01 |
| 1811462831 | Kailyn Asbury | Registered Nurse | 100 E. Carroll St., Prmc Dept of Physical Medicine, Salisbury, MD 21801 | 2018-10-05 |
| 1750866380 | Marc Levin Mcdonald | Physical Therapist | 2420 North Salisbury Blvd Unit 5, Salisbury, MD 21801 | 2018-09-28 |
| 1891277695 | Lindsay Britt Stallings | Counselor | 116 West Main St. Suite 204, Salisbury, MD 21801 | 2018-08-29 |
| Find all providers in zip 21801 | ||||
| Taxonomy Code | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972147114 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 316 Poplar Hill Ave, Salisbury, MD 21801-4277 | 2019-10-31 |
| 1306351713 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 109 E Chestnut St, Salisbury, MD 21801-4263 | 2017-12-07 |
| 1578541157 | Second Wind, Inc. | Substance Abuse Rehabilitation Facility | 309 Newton St, Salisbury, MD 21801-5308 | 2006-01-04 |
| 1568447209 | Hudson Health Services Inc | Substance Abuse Rehabilitation Facility | 1506 Harting Drive, Salisbury, MD 21801 | 2005-12-14 |
| 1780190496 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 221 Broad St, Salisbury, MD 21801-4955 | 2017-12-18 |
| 1740795855 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 108 Walnut St, Salisbury, MD 21801-4283 | 2017-12-12 |
| 1386171890 | Hudson Health Services | Substance Abuse Rehabilitation Facility | 1506 Harting Drive, Salisbury, MD 21801 | 2017-05-15 |
| 1356645568 | Megan Sckupakus | Substance Abuse Rehabilitation Facility | 220 E Main St Ste A, Salisbury, MD 21801-5044 | 2011-01-03 |
| 1578718193 | Hudson Health Services, Inc. | Substance Abuse Rehabilitation Facility | 300 Union Ave, Salisbury, MD 21801-3660 | 2008-11-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477151066 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 486 Lincoln Dr, Glen Burnie, MD 21060-8706 | 2020-10-15 |
| 1841898434 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 394 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-15 |
| 1942808050 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 10 S Broadway, Baltimore, MD 21231-1775 | 2020-10-12 |
| 1396343414 | Powell Recovery Center, Inc. | Substance Abuse Rehabilitation Facility | 15 S Broadway, Baltimore, MD 21231-1714 | 2020-10-12 |
| 1801494984 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 8315 Veterans Hwy, Millersville, MD 21108-1421 | 2020-10-12 |
| 1124626296 | Evolve Residential, LLC | Substance Abuse Rehabilitation Facility | 390 Washington Ave, Glen Burnie, MD 21060-8712 | 2020-10-12 |
| 1457968984 | Powell Recovery Center | Substance Abuse Rehabilitation Facility | 22 S Broadway, Baltimore, MD 21231-1711 | 2020-09-29 |
| 1356956676 | The Elysian Fields Optimum Wellness and Mental Health Group, LLC | Substance Abuse Rehabilitation Facility | 2901 Erdman Ave, Baltimore, MD 21213-1139 | 2020-09-14 |
| 1134731284 | Serenity Keepers of Maryland LLC | Substance Abuse Rehabilitation Facility | 3645 Cottage Ave, Baltimore, MD 21215-7725 | 2020-08-20 |
| 1255949392 | Champ House Recovery Inc. | Substance Abuse Rehabilitation Facility | 8655 Normal School Rd, Bowie, MD 20715-3326 | 2020-07-15 |
| Find all providers with the same taxonomy | ||||
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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.