MRS. KATHLEEN JOHNSTON SIROTA


Address: 138 Marburth Ave, Baltimore, MD 21286-1144
Phone: 4102962254

MRS. KATHLEEN JOHNSTON SIROTA (NPI# 1124376645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1124376645
Entity Type Individual
Full Name MRS. KATHLEEN JOHNSTON SIROTA
Credential LCSW-C
Practice Address 138 Marburth Ave
Baltimore
MD 21286-1144
Practice Telephone 4102962254
Mailing Telephone 4102962254
Enumeration Date 2012-08-15
Last Update Date 2012-08-15
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
06571 MD Behavioral Health & Social Service Providers

Office Location

Street Address 138 MARBURTH AVE
City BALTIMORE
State MD
Zip Code 21286-1144

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Taxonomy Information

Taxonomy Code 101YM0800X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Mental Health

Taxonomy Definition

Definition to come...

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Competitor

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City BALTIMORE
Zip Code 21286

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Dataset Information

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.

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