SOUTHERN MARYLAND COMMUNITY NETWORK, INC. (NPI# 1356474399) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1356474399 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COMMUNITY NETWORK, INC. |
| Practice Address |
305 Prince Frederick Blvd Prince Frederick MD 20678-3139 |
| Mailing Address |
P.o. Box 998 Prince Frederick MD 20678-3139 |
| Practice Telephone | 4105354787 |
| Practice Fax Number | 4105354965 |
| Mailing Telephone | 4105354787 |
| Mailing Fax Number | 4105354965 |
| Enumeration Date | 2007-03-13 |
| Last Update Date | 2010-04-01 |
| Authorized Official Name | JOHN R. BENNETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105354787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 268873500 | 05 | |
| MD | 257841700 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| 1285168534 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2017-04-13 |
| 1093249344 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St, Suite #5, Leonardtown, MD 20650-3814 | 2017-04-13 |
| 1740593995 | Southern Maryland Community Network, Inc. | Case Management | 41900 Fenwick St, Suite # 5, Leonardtown, MD 20650-3814 | 2010-07-16 |
| 1922325398 | Southern Maryland Community Network, Inc. | Case Management | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2010-04-26 |
| Street Address |
305 PRINCE FREDERICK BLVD |
| City | PRINCE FREDERICK, |
| State | MD |
| Zip Code | 20678-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK, |
| Zip Code | 20678 |
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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.