MS. KIM CASEY SCAGNELLI


Address: 1702 South Rd, Baltimore, MD 21209-4504
Phone: 4103676545

MS. KIM CASEY SCAGNELLI (NPI# 1154433282) 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) 1154433282
Entity Type Individual
Full Name MS. KIM CASEY SCAGNELLI
Credential L.C.S.W. - C
Practice Address 1702 South Rd
Baltimore
MD 21209-4504
Practice Telephone 4103676545
Practice Fax Number 4103678158
Mailing Telephone 4103676545
Mailing Fax Number 4103678158
Enumeration Date 2006-08-31
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YM0800X Counselor
Specialization: Mental Health
06977 MD Behavioral Health & Social Service Providers

Office Location

Street Address 1702 SOUTH RD
City BALTIMORE
State MD
Zip Code 21209-4504

Providers in the same location

NPI Name Taxonomy Address Enumeration
1033688783 Sarah Diehl Therapy, LLC Community/Behavioral Health 1702 South Rd, Baltimore, MD 21209-4504 2018-11-23
1952847915 Sarah Diehl Counselor 1702 South Rd, Baltimore, MD 21209-4504 2017-01-16
1144629189 Susan Brown Social Worker 1702 South Rd, Baltimore, MD 21209-1501 2014-08-15
1205910411 Deborah Boss Marks Social Worker 1702 South Rd, Baltimore, MD 21209-4504 2006-10-24
1013099563 Cynthia S Osborne Social Worker 1702 South Rd, Baltimore, MD 21209-4504 2006-10-20

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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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1912524323 Lydia Hubbard Counselor 1800 N Charles St Ste 1600, Baltimore, MD 21201-5920 2020-07-01
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Competitor

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City BALTIMORE
Zip Code 21209

Improve Information

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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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