CASEY LYNN VENDETTI


Address: 280 Stafford Road, Barstow, MD 20610
Phone: 4105354300

CASEY LYNN VENDETTI (NPI# 1609424852) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609424852
Entity Type Individual
Full Name CASEY LYNN VENDETTI
Practice Address 280 Stafford Road
Barstow
MD 20610
Mailing Address 12596 Catalina Dr
Lusby
MD 20657-4429
Practice Telephone 4105354300
Mailing Telephone 4436849070
Enumeration Date 2019-08-30
Last Update Date 2019-08-30
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1041S0200X Social Worker
Specialization: School
Behavioral Health & Social Service Providers

Other Provider Identifier

State Issuer Identifier Type Code
MD BCBS CEP821053299 01

Office Location

Street Address 280 STAFFORD ROAD
City BARSTOW
State MD
Zip Code 20610

Providers in the same location

NPI Name Taxonomy Address Enumeration
1417936287 Cchd - Substance Abuse Srvcs - Barstow Substance Abuse Rehabilitation Facility 280 Stafford Road, Barstow, MD 20610 2006-01-11
1598285660 Calvert County Health Department Clinic/Center 280 Stafford Road, Barstow, MD 20610 2017-06-21
1912355637 Calvert County Health Department Clinic/Center 280 Stafford Road, Barstow, MD 20610 2016-06-03
1194120758 Amanda Cipriani Social Worker 280 Stafford Road, Barstow, MD 20610 2014-10-24

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1326027194 Calvert County Jail Substance Abuse Prgm Substance Abuse Rehabilitation Facility 315 Stafford Road, Barstow, MD 20610 2006-01-11
1891349148 Jayda Keyerra Blount Counselor 280 Stafford Rd, Barstow, MD 20610 2019-07-25
1023584786 Belinda Barber Social Worker 280 Stafford Rd, Barstow, MD 20610 2018-10-22
1811413735 Jesse Tiralla Social Worker 280 Stafford Rd, Barstow, MD 20610 2017-08-22
1962916817 Shana Nicole Grimes Social Worker 325 Stafford Rd, Barstow, MD 20610-2061 2017-11-29

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Taxonomy Information

Taxonomy Code 1041S0200X
Grouping Behavioral Health & Social Service Providers
Classification Social Worker
Specialization School

Taxonomy Definition

Definition to come...

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1740818822 Rebecca Pavic Social Worker 1201 Old Ocean City Rd, Salisbury, MD 21804-4560 2020-04-01
1023645801 Stephanie Salamone Social Worker 1333 Upcot Ct, Capitol Heights, MD 20743-4229 2020-03-24
1720645435 Steven Murray Mednick Social Worker 2500 E Northern Pkwy, Baltimore, MD 21214-1163 2019-05-29
1811554645 Patricia A. Yeargin Social Worker 200 E. North Avenue - Room 105: Re-engagement Center, Baltimore, MD 21202-2120 2019-05-28
1093273559 Brenda H. Wells Social Worker 200 E. North Ave., Baltimore, MD 21218 2019-03-04
1427515303 Cynthia Mary Jackson Social Worker 602 Kahn Dr, Pikesville, MD 21208-5824 2019-02-27
1902363765 Angelina Anthony Sills Social Worker 2815 Saint Lo Dr, Baltimore, MD 21213-1325 2019-02-27
1972060846 Matthew Mcleod Rehak Social Worker 825 Providence Rd, Towson, MD 21286-2964 2019-02-26
1164989166 Nicole Maloney Social Worker 10 Cockeys Mill Rd, Reisterstown, MD 21136-1283 2019-02-26
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Competitor

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City BARSTOW
Zip Code 20610

Improve Information

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Dataset Information

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.

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