KENDALL ROSE SAVAGE (NPI# 1174025498) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1174025498 |
Entity Type | Individual |
Full Name | KENDALL ROSE SAVAGE |
Credential | LGSW |
Practice Address |
202 Coursevall Dr Ste 104 Centreville MD 21617-2805 |
Practice Telephone | 4432620425 |
Mailing Telephone | 4432620425 |
Enumeration Date | 2018-03-02 |
Last Update Date | 2018-03-02 |
Gender Code | F |
Is Sole Proprietor | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
23600 | MD | Behavioral Health & Social Service Providers |
Street Address |
202 COURSEVALL DR STE 104 |
City | CENTREVILLE |
State | MD |
Zip Code | 21617-2805 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518472570 | Project Chesapeake, LLC | Clinic/Center | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2017-12-12 |
1174025944 | Project Chesapeake, LLC | Community/Behavioral Health | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-03-07 |
1861990160 | Project Chesapeake, LLC | Clinic/Center | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2018-02-01 |
1093220022 | Project Chesapeake, LLC | Social Worker | 202 Coursevall Dr Ste 104, Centreville, MD 21617-2805 | 2017-12-13 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1518322445 | Marianna Edmonston | Occupational Therapy Assistant | 205 Armstrong St., Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2015-12-18 |
1881089084 | Michelle Katherine Priddy | Specialist/Technologist | 125 Ruthsburg Rd., Centreville, MD 21617 | 2015-04-03 |
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1588940787 | Angela Renee Sommer | Speech-Language Pathologist | 205 Armstrong Street, Genesis Rehabilitation Services Corsica Hills, Centreville, MD 21617 | 2011-11-01 |
1497067144 | Alison Lynn Mccuen | Speech-Language Pathologist | 175 Ashland Drive, Centreville, MD 21617 | 2010-07-10 |
1427269406 | Hospice of Queen Anne's Inc. | Hospice Care, Community Based | 255 Comet Drive, Centreville, MD 21617 | 2007-05-24 |
1093921470 | Lillian Sheehan | Social Worker | 152 Courseval Drive, Ste 142, Centreville, MD 21617 | 2007-05-15 |
1184723942 | Centreville Drugs Inc | Durable Medical Equipment & Medical Supplies | 102 Commerce Street, Centreville, MD 21617 | 2006-09-21 |
1114022670 | James J Lucas | Dentist | 134 Coursevall Drive, Centerville, MD 21617 | 2006-09-13 |
1730129370 | Joseph C Titus | Social Worker | 120 Banjo Lane, Centreville, MD 21617 | 2006-06-08 |
Find all providers in zip 21617 |
Taxonomy Code | 101YA0400X |
Grouping | Behavioral Health & Social Service Providers |
Classification | Counselor |
Specialization | Addiction (Substance Use Disorder) |
Definition to come... |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801220579 | Kimberly Patrice Wilson | Counselor | 205 North Liberty St, Centreville, MD 21617 | 2013-08-29 |
1679514681 | Charlotte F Pierce | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2006-06-09 |
1275167223 | Anne Arundel Counseling, Inc. | Counselor | 633 Railroad Ave, Centreville, MD 21617-1144 | 2020-02-28 |
1033695028 | Ashley Hall | Counselor | 120 Banjo Ln, Centreville, MD 21617-1002 | 2018-07-13 |
1922406040 | Sarah Brianne Baldridge | Counselor | 677 E Main St, Suite A, Centreville, MI 49032-8524 | 2014-12-06 |
1134558075 | Leslie Dee Pitts | Counselor | 677 E Main St Ste A, Centreville, MI 49032-8525 | 2013-11-01 |
1467880450 | Ann Louise Gilpin | Counselor | 677 E. Main St., Centreville, MI 49032 | 2013-10-29 |
1932408242 | Elizabeth Bohaker | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
1518266816 | Jeffrey J Holloway | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
1942509245 | Maggie J Terzaghi | Counselor | 205 N Liberty St, Centreville, MD 21617-1022 | 2011-03-25 |
Find all providers in CENTREVILLE |
City | CENTREVILLE |
Zip Code | 21617 |
Please comment or provide details below to improve the information on KENDALL ROSE SAVAGE.
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.