MOSAIC COMMUNITY SERVICES, INC (NPI# 1598084626) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1598084626 |
| Entity Type | Organization |
| Organization Name | MOSAIC COMMUNITY SERVICES, INC |
| Practice Address |
2225 N Charles St Baltimore MD 21218-5778 |
| Mailing Address |
1925 Greenspring Dr Timonium MD 21093-4128 |
| Practice Telephone | 4103664360 |
| Practice Fax Number | 4103088926 |
| Mailing Telephone | 4104539553 |
| Mailing Fax Number | 4103088926 |
| Enumeration Date | 2010-05-28 |
| Last Update Date | 2011-04-20 |
| Authorized Official Name | MR. JEFF RICHARDSON (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4104539553 |
| Authorized Official Credential | LCSW-C |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
4642 | MD | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | DHMH LICENSE | 4642 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710466313 | Mosaic Community Services, Inc | Counselor | 640 E Diamond Ave Ste B, Gaithersburg, MD 20877-5331 | 2018-08-14 |
| 1912508144 | Mosaic Community Services, Inc | Clinic/Center | 6501 North Charles St, Gibson Building, Baltimore, MD 21204 | 2020-11-04 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1194363838 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2019-12-12 |
| 1114564143 | Mosaic Community Services, Inc | Clinic/Center | 288 E Green St, Westminster, MD 21157-5410 | 2019-12-10 |
| 1124470067 | Mosaic Community Services, Inc | Clinic/Center | 9201 Philadelphia Rd, Baltimore, MD 21237-4318 | 2016-07-03 |
| 1134279284 | Mosaic Community Services, Inc | Clinic/Center | 1931 Greenspring Dr, Timonium, MD 21093-4113 | 2007-01-11 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | MOSAIC COMMUNITY SERVICES, INC. | 2010 Groton Rd, Pocomoke City, MD 21851-2802 |
| Street Address |
2225 N CHARLES ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-5778 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295841658 | Gwendolyn O Johnson | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2006-08-21 |
| 1588202220 | Mosaic Community Services, Inc | Clinic/Center | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-12-12 |
| 1376109975 | Santana Marie Daugherty | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2019-05-20 |
| 1588147904 | Iris Th Heath | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-09-11 |
| 1336626928 | Monica Dominguez | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-07-26 |
| 1487141784 | Julia May | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2018-04-23 |
| 1427587153 | Martin Zayon | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-06 |
| 1073042057 | Lawrence Rakhmanov | Counselor | 2225 N Charles St, Baltimore, MD 21218-5778 | 2017-06-05 |
| 1750734687 | Stephanie P Tobar | Social Worker | 2225 N Charles St, Baltimore, MD 21218-5778 | 2016-07-15 |
| 1821448101 | Ashley Michelle Wall | Social Worker | 2225 N Charles St, Baltimore, MD 21218 | 2016-06-16 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851933725 | Tierra Bouyer | Speech-Language Pathologist | 2040 East 32nd Street, Baltimore, MD 21218 | 2019-10-12 |
| 1093273559 | Brenda H. Wells | Social Worker | 200 E. North Ave., Baltimore, MD 21218 | 2019-03-04 |
| 1619441011 | Harwood Behavioral Health Partners, LLC | Community/Behavioral Health | 2514 Greenmount Avenue, Baltimore, MD 21218 | 2019-01-18 |
| 1649740291 | Elise Christine Starkey | Occupational Therapist | 801 Argonne Drive, Baltimore, MD 21218 | 2018-11-27 |
| 1851861421 | Alagra S Bass | Social Worker | 1900 N. Howard Street Suite 300, Baltimore, MD 21218 | 2018-11-27 |
| 1396213575 | Desiree Luerene Israel | Social Worker | 2000 Greenmount Ave Ste 101, Baltimore, MD 21218 | 2018-11-06 |
| 1952885451 | Harwood Behavioral Health Partners, LLC | Clinic/Center | 2514 Greenmount Ave, Baltimore, MD 21218 | 2018-09-20 |
| 1528548047 | Rozi Khan | Student in an Organized Health Care Education/Training Program | 325 East University Pkwy 1-3, Bltimore, MD 21218 | 2018-08-14 |
| 1558866202 | Prabij N/a Dhungana | Student in an Organized Health Care Education/Training Program | 201 E. University Parkway, Dept of Medicine, Baltimore, MD 21218 | 2018-03-26 |
| 1588163562 | Generation 5 Healthcare, Inc. | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 707 Belgian Ave., Baltimore, MD 21218 | 2018-02-06 |
| Find all providers in zip 21218 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154938975 | Lovework, LLC | Clinic/Center | 2352 Eutaw Pl Apt 3, Baltimore, MD 21217-4084 | 2020-09-25 |
| 1609484039 | Unique Minds Behavioral Health Services, LLC | Clinic/Center | 6810 Park Heights Ave # C6, Baltimore, MD 21215-1641 | 2020-07-22 |
| 1043838956 | Alpha New Hope Health Services | Clinic/Center | 38 S Dundalk Ave Ste B1, Baltimore, MD 21222-4280 | 2020-07-07 |
| 1700402740 | Guiding Lives | Clinic/Center | 6305 Belair Rd Ste 2, Baltimore, MD 21206-1817 | 2020-06-24 |
| 1881217859 | Thrive Telepsychiatry, LLC | Clinic/Center | 6905 York Rd # 38, Baltimore, MD 21212-1510 | 2020-05-25 |
| 1225651433 | Debobeth Medical Center | Clinic/Center | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1669094116 | The Balance Center, LLC | Clinic/Center | 5859 Western Run Dr Apt C, Baltimore, MD 21209-4140 | 2020-05-07 |
| 1699300863 | Treasure Health Systems, Inc | Clinic/Center | 1900 E Northern Pkwy Ste 209, Baltimore, MD 21239-2110 | 2020-03-09 |
| 1932734266 | Redeeming Light Wellness Center LLC | Clinic/Center | 1 N Charles St Ste 1503, Baltimore, MD 21201-3724 | 2020-03-06 |
| 1649805078 | Empowering Minds Resource Center | Clinic/Center | 1800 N Charles St Fl 6, Baltimore, MD 21201-5920 | 2020-03-05 |
| Find all providers in BALTIMORE | ||||
Please comment or provide details below to improve the information on MOSAIC COMMUNITY SERVICES, INC.
| 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.