MRS. KATHLEEN KELLY LAVINA (NPI# 1821371766) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821371766 |
| Entity Type | Individual |
| Full Name | MRS. KATHLEEN KELLY LAVINA |
| Credential | LCPC |
| Practice Address |
949 Gorsuch Ave Baltimore MD 21218-3602 |
| Practice Telephone | 4104674121 |
| Practice Fax Number | 4104676709 |
| Mailing Telephone | 4104674121 |
| Mailing Fax Number | 4104676709 |
| Enumeration Date | 2011-09-27 |
| Last Update Date | 2011-09-27 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
LCA454 | MD | Behavioral Health & Social Service Providers |
| Y | 101YP2500X |
Counselor Specialization: Professional |
LC1666 | MD | Behavioral Health & Social Service Providers |
| Street Address |
949 GORSUCH AVE |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21218-3602 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699234203 | Marian House, Inc. | Substance Abuse Rehabilitation Facility | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2019-03-14 |
| 1093232175 | Marian House, Inc. | Community/Behavioral Health | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2017-08-29 |
| 1679097364 | Marian House, Inc. | Community/Behavioral Health | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2017-08-03 |
| 1710302021 | Regina Weaver | Social Worker | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2014-02-24 |
| 1407194277 | Marian House | Psychiatry & Neurology | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2013-01-29 |
| 1972873669 | Nancy Lynch Gibson | Counselor | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2012-01-11 |
| 1124304266 | Marian House, Inc. | Clinic/Center | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2011-11-02 |
| 1801171483 | Elizabeth Ann Heizer | Counselor | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2011-10-14 |
| 1124302856 | Katherine Dineen Allston | Social Worker | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2011-09-29 |
| 1952684771 | Sharon Brunier | Counselor | 949 Gorsuch Ave, Baltimore, MD 21218-3602 | 2011-09-28 |
| 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 | 101YP2500X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Professional |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740897685 | Christlyn Ariel Mccaskill | Counselor | 5525 Harford Rd, Baltimore, MD 21214-2233 | 2020-09-24 |
| 1730797283 | Sheila Williams | Counselor | 5601 Loch Raven Blvd Ste 105, Baltimore, MD 21239-2945 | 2020-07-21 |
| 1144838889 | Mb Therapeutic Center, LLC | Counselor | 218 E Lexington St Ste 700, Baltimore, MD 21202-3518 | 2020-07-20 |
| 1538782305 | Matters of The Mind LLC | Counselor | 1645 Ridgely St Fl 2, Baltimore, MD 21230-2050 | 2020-05-27 |
| 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 |
| 1447870514 | Diane Moses | Counselor | 1721 Pennsylvania Ave # 205, Baltimore, MD 21217-3119 | 2020-04-19 |
| 1649804840 | Brittany Michelle Chadsey | Counselor | 1 N Charles St Ste 602, Baltimore, MD 21201-3732 | 2020-02-26 |
| 1467084871 | Amanda Steinhorn, LLC | Counselor | 7225 Brookfalls Ter, Baltimore, MD 21209-1646 | 2020-02-04 |
| 1043850035 | Rebecca Blank | Counselor | 711 W 40th St Ste 425, Baltimore, MD 21211-2135 | 2020-01-08 |
| Find all providers in BALTIMORE | ||||
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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.