COURTNEY A SHAFFER


Address: 122 Weber St, Baltimore, MD 21230-4106
Phone: 4107525525

COURTNEY A SHAFFER (NPI# 1770762494) 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) 1770762494
Entity Type Individual
Full Name COURTNEY A SHAFFER
Credential LCP
Practice Address 122 Weber St
Baltimore
MD 21230-4106
Mailing Address 4302 Newport Ave
Baltimore
MD 21211-1233
Practice Telephone 4107525525
Practice Fax Number 4107525531
Enumeration Date 2007-10-30
Last Update Date 2007-10-30
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 101YP2500X Counselor
Specialization: Professional
LGP330 MD Behavioral Health & Social Service Providers

Office Location

Street Address 122 WEBER ST
City BALTIMORE
State MD
Zip Code 21230-4106

Providers in the same location

NPI Name Taxonomy Address Enumeration
1215910617 Louise Yvonne Flamer Social Worker 122 Weber St, Baltimore, MD 21230-4106 2005-11-21
1356664601 Sharon L Hart Counselor 122 Weber St, Baltimore, MD 21230-4106 2010-03-01
1366772535 Ellen Adele Johnson Social Worker 122 Weber St, Baltimore, MD 21230-4106 2010-01-11
1528398849 Paradise Patterson Social Worker 122 Weber St, Baltimore, MD 21230-4106 2010-01-08
1891949921 Ryan Elliott Smith Social Worker 122 Weber St, Baltimore, MD 21230-4106 2008-11-17
1134373475 Casey Lynn Davis Social Worker 122 Weber St, Baltimore, MD 21230-4106 2008-11-13
1770755332 Rachael Cupid Social Worker 122 Weber St, Baltimore, MD 21230-4106 2008-03-24
1538340971 Priscilla Lynn Stevens Social Worker 122 Weber St, Baltimore, MD 21230-4106 2007-11-14
1871781013 Shawan D Adams Social Worker 122 Weber St, Baltimore, MD 21230-4106 2007-10-12
1609906569 Tamar T. Frydman Social Worker 122 Weber St, Baltimore, MD 21230-4106 2007-03-07
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1447791058 Elizabeth Richmond Nurse Practitioner 2 East Wells Apt 179, Baltimore, MD 21230 2017-03-15
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Taxonomy Information

Taxonomy Code 101YP2500X
Grouping Behavioral Health & Social Service Providers
Classification Counselor
Specialization Professional

Taxonomy Definition

Definition to come...

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1144838889 Mb Therapeutic Center, LLC Counselor 218 E Lexington St Ste 700, Baltimore, MD 21202-3518 2020-07-20
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1912529595 Anna Coleen Mahr Counselor 9700 Old Harford Rd, Baltimore, MD 21234-1140 2020-05-18
1902428352 Bridgette Eaton Counselor 3501 Saint Paul St Apt 147, Baltimore, MD 21218-2726 2020-05-08
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Competitor

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City BALTIMORE
Zip Code 21230

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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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