ANDREA LYNN MINERVA (NPI# 1396377032) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1396377032 |
| Entity Type | Individual |
| Full Name | ANDREA LYNN MINERVA |
| Credential | LGPC |
| Practice Address |
502 Poplar St Cambridge MD 21613-1834 |
| Mailing Address |
26332 Wolfe Creek Dr Salisbury MD 21801-8205 |
| Practice Telephone | 4432255780 |
| Mailing Telephone | 4436143167 |
| Enumeration Date | 2020-02-11 |
| Last Update Date | 2020-02-11 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LGP10184 | MD | Behavioral Health & Social Service Providers |
| Street Address |
502 POPLAR ST |
| City | CAMBRIDGE |
| State | MD |
| Zip Code | 21613-1834 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598073355 | Catherine Anne Proa | Social Worker | 502 Poplar St, Cambridge, MD 21613-1834 | 2010-09-15 |
| 1710497912 | Lisa Taylor | Counselor | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-10-03 |
| 1386178879 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2017-04-12 |
| 1548717903 | Autumn Renee Hart | Social Worker | 502 Poplar St, Cambridge, MD 21613-1834 | 2016-09-02 |
| 1306220322 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2015-07-20 |
| 1992049100 | Corsica River Mental Health Services, Inc. | Clinic/Center | 502 Poplar St, Cambridge, MD 21613-1834 | 2012-11-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225427289 | A Better Alternative Nursing Avency, Inc | Nursing Care | 204 Cedar Street, Canbridge, MD 21613 | 2015-01-14 |
| 1497048524 | Christina Marie Drostin | Family Medicine | 503 A Muir Street, Cambridge, MD 21613 | 2011-05-23 |
| 1841589058 | Wal-mart Stores East Lp | Technician/Technologist | 2775 Dorchester Square, Cambridge, MD 21613 | 2011-03-29 |
| 1053624452 | Gina Exantus-bernard | Pediatrics | 400 Byrn St Ste A, Cambridge, MD 21613 | 2010-07-14 |
| 1235362872 | St of Md/dhmh Dorchester Co Health Dept | Public Health or Welfare | 2475 Cambridge Bypass, Cambridge, MD 21613 | 2009-08-31 |
| 1801916622 | Alisha Foxwell Saulsbury | Social Worker | 208 Cedar St, Cambridge, MD 21613 | 2007-03-29 |
| 1497890669 | Charles Edmund Connelly Jr. | Dentist | 406 Lecompte Street, Cambridge, MD 21613 | 2007-02-21 |
| 1114088192 | Delmarva Community Services Inc | Nursing Care | 6210 Shiloh Church Hurlock Rd, Hurlock, MD 21613 | 2006-12-13 |
| 1184782658 | Lesa M Lee | Social Worker | 403 Race Street, Cambridge, MD 21613 | 2006-12-05 |
| 1750455747 | Jenny Lynne Jarrell | Social Worker | 208 Cedar Street, Cambridge, MD 21613 | 2006-11-20 |
| Find all providers in zip 21613 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285240614 | Ruthann Corrie Hewett | Counselor | 15 Ellery St Apt 8, Cambridge, MA 02138-5321 | 2020-09-21 |
| 1730798489 | Talk Therapy Tuebingen LLC | Counselor | 10 Michael Way, Cambridge, MA 02141-1436 | 2020-07-29 |
| 1407491962 | Alex Henry Newman | Counselor | 929 Massachusetts Ave Ste 103, Cambridge, MA 02139-3134 | 2019-11-08 |
| 1790343259 | Arielle Klein | Counselor | 872 Massachusetts Ave Ste 2-2, Cambridge, MA 02139-3072 | 2019-05-30 |
| 1144887696 | Stephanie Gray | Counselor | 1066 Cambridge St Apt 303, Cambridge, MA 02139-1463 | 2019-05-21 |
| 1952878233 | Wendy Elizabeth Shifflet | Counselor | Tri Valley Medical, 1305 Hwy 6/34, Cambridge, NE 69022 | 2018-10-25 |
| 1144796327 | Dorchester County Health Department - Sbwc-mh-csd | Counselor | 2475 Cambridge Beltway, Cambridge, MD 21613-3680 | 2018-10-16 |
| 1295201515 | Dorchester County Health Department - Sbwc-mh - Sandy Hill | Counselor | 1503 Glasgow St, Cambridge, MD 21613-1350 | 2018-10-15 |
| 1265917850 | Gail Nunes | Counselor | 872 Mass Ave Ste 2-2, Cambridge, MA 02139-3072 | 2018-09-28 |
| 1972080893 | Esther Cazeau | Counselor | 237 Hampshire St., Cambridge, MA 02139 | 2018-07-24 |
| Find all providers in CAMBRIDGE | ||||
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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.