SOMERSET COUNTY HEALTH DEPARTMENT (NPI# 1609092022) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1609092022 |
| Entity Type | Organization |
| Organization Name | SOMERSET COUNTY HEALTH DEPARTMENT |
| Other Organization Name | SOMERSET COUNTY BEHAVIORAL HEALTH |
| Practice Address |
11674 Somerset Ave Princess Anne MD 21853-1134 |
| Practice Telephone | 4435231780 |
| Practice Fax Number | 4106513189 |
| Enumeration Date | 2007-04-17 |
| Last Update Date | 2007-07-08 |
| Authorized Official Name | MR. CRAIG STOFKO (DIRECTOR OF BEHAVIORAL HEALTH) |
| Authorized Official Telephone | 4435231782 |
| Authorized Official Credential | M.ED., LCADC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
14304 | MD | Behavioral Health & Social Service Providers |
| Other Name | Type Code |
|---|---|
| Somerset County Behavioral Health | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1104991272 | Somerset County Health Department | Case Management | 7920 Crisfield Hwy, Westover, MD 21871-3922 | 2006-11-22 |
| 1205810777 | Somerset County Health Department | Case Management | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2005-11-30 |
| 1144667031 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2013-05-31 |
| 1962771170 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2011-12-16 |
| 1962543413 | Somerset County Health Department | Case Management | 7920 Crisfield Hwy, Westover, MD 21871-3922 | 2007-02-09 |
| 1275609125 | Somerset County Health Department | Public Health or Welfare | 7920 Crisfield Hwy, Westover, MD 21871-3922 | 2006-11-24 |
| 1619043569 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
| 1528134475 | Somerset County Health Department | Public Health or Welfare | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
| 1609942556 | Somerset County Health Department | Case Management | 8928 Sign Post Road, Suite 2, Westover, MD 21871 | 2006-11-24 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | SOMERSET COUNTY HEALTH DEPARTMENT | 7920 Crisfield Hwy, Westover, MD 21871-3922 |
| Street Address |
11674 SOMERSET AVE |
| City | PRINCESS ANNE |
| State | MD |
| Zip Code | 21853-1134 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659550507 | Kathleen P. Maycock | Social Worker | 11674 Somerset Ave, Princess Anne, MD 21853-1134 | 2007-10-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205478013 | Zachary Castell | Counselor | 30665 Student Services Center Lane, Princess Anne, MD 21853 | 2019-10-14 |
| 1659798759 | Brittany Leigh Heffernan | Dentist | 12165 Elm Street, Princess Anne, MD 21853 | 2014-03-26 |
| 1750670519 | Earl Gene Grantz | Pharmacist | 1251 Brittingham Lane, Rite Aid Pharmacy, Princess Anne, MD 21853 | 2011-04-01 |
| 1356554018 | Somerset County Health Department | Public Health or Welfare | 11674 Somerset Avenue, Princess Anne, MD 21853 | 2007-05-08 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1053408641 | Nancy V Lorsong | Nurse Practitioner | Backbone Rd, Charles Drew Student Health Center, Princess Anne, MD 21853 | 2006-10-06 |
| 1154354744 | Three Lower Counties Community Services, Inc. | Clinic/Center | 12145 Elm Street, Princess Anne, MD 21853 | 2006-07-08 |
| 1750855797 | Rebecca Coryell | Physician Assistant | 12302 Somerset Ave, Suite A, B, Princess Anne, MD 21853 | 2019-01-13 |
| 1205331840 | Kristen Lea Hyland | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-03-26 |
| 1386145118 | Karishma Dilip Patel | Dentist | 12165 Elm St, Princess Anne, MD 21853 | 2018-02-27 |
| Find all providers in zip 21853 | ||||
| Taxonomy Code | 101YA0400X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Addiction (Substance Use Disorder) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588274773 | Positive Reinforcements Inc. | Counselor | 30260 Mount Vernon Rd Unit 6, Princess Anne, MD 21853-2202 | 2020-08-03 |
| 1598207367 | J. David Collins & Associates LLC | Counselor | 30256 Mount Vernon Rd, Unit A, Princess Anne, MD 21853-2202 | 2016-11-10 |
| 1801008479 | Cedric Rashaw | Counselor | 1 Umes Backbone Road, Princess Anne, MD 21853 | 2007-05-04 |
| 1811469810 | Latisha Nichole Waters | Counselor | 11559 Somerset Ave, Princess Anne, MD 21853-1067 | 2019-01-02 |
| 1972910370 | Christopher Schwartfigure | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2014-07-17 |
| 1801155601 | Eastern Shore Psychological Services, LLC | Counselor | 11559 Somerset Ave, Princess Anne, MD 21853-1067 | 2012-05-14 |
| 1902071798 | Craig Edward Wisner | Counselor | 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 2008-04-23 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861091522 | Choices Integrated Healthcare | Counselor | 1600 Bush St, Baltimore, MD 21230-2021 | 2020-10-22 |
| 1831706068 | James Simmons | Counselor | 975 Solomons Island Rd N # 119, Prince Frederick, MD 20678-3917 | 2020-10-01 |
| 1730791609 | Tony C Shaw | Counselor | 2814 W Garrison Ave, Baltimore, MD 21215-5335 | 2020-08-20 |
| 1134739600 | Crystal Yolanda Mason | Counselor | 10006 Antium Way, Owings Mills, MD 21117-4069 | 2020-08-08 |
| 1023628849 | Delores Jordan | Counselor | 2640 Oswego Ave, Baltimore, MD 21215-7037 | 2020-08-06 |
| 1073122511 | Rasheed Badmus | Counselor | 46 Solar Cir Apt A, Parkville, MD 21234-6831 | 2020-07-30 |
| 1144838277 | Guiding Lives | Counselor | 6305 Belair Rd, Baltimore, MD 21206-1817 | 2020-07-15 |
| 1750908943 | New Life Services LLC. | Counselor | 3600 W Mulberry St, Baltimore, MD 21229-2928 | 2020-07-03 |
| 1801413422 | Karena Tinika Lee | Counselor | 1336 Homestead St, Baltimore, MD 21218-3624 | 2020-06-30 |
| 1578189668 | Chenelle Gould | Counselor | 4018 Elmora Ave, Baltimore, MD 21213-2120 | 2020-06-24 |
| Find all providers with the same taxonomy | ||||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
Please comment or provide details below to improve the information on SOMERSET COUNTY HEALTH DEPARTMENT.
| 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.