SOUTHERN MARYLAND COMMUNITY NETWORK, INC. (NPI# 1922325398) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922325398 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COMMUNITY NETWORK, INC. |
| Practice Address |
305 Prince Frederick Blvd Prince Frederick MD 20678-3139 |
| Mailing Address |
Po Box 998 Prince Frederick MD 20678-0998 |
| Practice Telephone | 4105354787 |
| Practice Fax Number | 4105354965 |
| Mailing Telephone | 4105354787 |
| Mailing Fax Number | 4105354965 |
| Enumeration Date | 2010-04-26 |
| Last Update Date | 2010-04-26 |
| Authorized Official Name | MR. JOHN R BENNETT (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105354787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | MD | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 268873500 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356474399 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2007-03-13 |
| 1457885709 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2017-04-13 |
| 1285168534 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2017-04-13 |
| 1093249344 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St, Suite #5, Leonardtown, MD 20650-3814 | 2017-04-13 |
| 1740593995 | Southern Maryland Community Network, Inc. | Case Management | 41900 Fenwick St, Suite # 5, Leonardtown, MD 20650-3814 | 2010-07-16 |
| Street Address |
305 PRINCE FREDERICK BLVD |
| City | PRINCE FREDERICK |
| State | MD |
| Zip Code | 20678-3139 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285168534 | Southern Maryland Community Network, Inc. | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2017-04-13 |
| 1013469832 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2016-10-27 |
| 1184044943 | Karen E Carloni | Counselor | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-04-21 |
| 1932525300 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2014-03-10 |
| 1881026409 | Walden Sierra | Community/Behavioral Health | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2013-08-06 |
| 1295172807 | Sierra Walden Inc | Counselor | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2013-05-23 |
| 1881988400 | Diane Saccoccio | Social Worker | 305 Prince Frederick Blvd, Prince Frederick, MD 20678-3139 | 2011-05-31 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861857500 | Watershed Counseling Service | Counselor | 246 Merrimac Court, Prince Frederick, MD 20678 | 2015-12-23 |
| 1023449642 | Mary Gordon Walter | Registered Nurse | 976 Solomans Island Road, Prince Frederick, MD 20678 | 2013-12-07 |
| 1891126827 | Jacqueline Leclercq | Nurse Practitioner | 110 Hospital Road Suite 303, Prince Frederick, MD 20678 | 2013-12-02 |
| 1174959001 | Linsey Rowe Heane | Physical Therapist | 110 Main Street Suite 1, Prince Frederick, MD 20678 | 2013-09-24 |
| 1053607002 | Tidewater Dental Pf | Dentist | 690 Prince Frederick Blvd, Prince Frederick, MD 20678 | 2011-06-28 |
| 1033411558 | Sharon Patricia Parran | Pharmacist | 80 W.dares Beach Road, Prince Frederick, MD 20678 | 2010-12-04 |
| 1366684326 | Prince Frederick Surgery Center LLC | Clinic/Center | 70 Sherry Lane, Suite 101, Prince Frederick, MD 20678 | 2009-04-06 |
| 1982844734 | Orthocare Solutions Inc | Durable Medical Equipment & Medical Supplies | 220 Old Solomans Island Rd, Prince Frederick, MD 20678 | 2009-03-05 |
| 1225273519 | Rebecca Lynn Jahed | Audiologist | 3180 Blackberry Lane, Prince Frederick, MD 20678 | 2008-12-16 |
| 1669639209 | Ralph Walter Niemann | Dentist | 272 Merrimac Court, Prince Frederick, MD 20678 | 2008-05-21 |
| Find all providers in zip 20678 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134527575 | Center for Children, Inc. | Case Management | 489 Main St, Suite 202, Prince Frederick, MD 20678-3187 | 2014-12-17 |
| 1811332430 | Calvert County Health Department | Case Management | 975 Solomons Island Rd N, Prince Frederick, MD 20678-3917 | 2013-05-09 |
| 1821238163 | Circle of Care, LLC | Case Management | 301 Steeple Chase Dr, Prince Frederick, MD 20678-4049 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760081939 | Heavenly Helpers Home Health Services | Case Management | 11548 Lady Alison Ct, Waldorf, MD 20601-4630 | 2020-10-20 |
| 1699380154 | Potomac Case Management Services, Inc. | Case Management | 29 Baltimore St, Cumberland, MD 21502-3024 | 2020-09-11 |
| 1821613373 | Keys Development Ta | Case Management | 7501 Liberty Rd Ste F/g, Keys Development Ta LLC., Gwynn Oak, MD 21207 | 2020-06-10 |
| 1821613530 | Renaye James Healthcare Advisors, LLC | Case Management | 12028 Open Run Rd, Ellicott City, MD 21042-6101 | 2020-06-09 |
| 1902420680 | Infostructures, Inc. | Case Management | 1390 Piccard Dr Ste 330, Rockville, MD 20850-6540 | 2020-05-29 |
| 1235752064 | Recovery Coalition of Maryland | Case Management | 2900 Hammonds Ferry Rd, Halethorpe, MD 21227-3142 | 2020-05-27 |
| 1922628783 | Rehabilitation Center for Humanity LLC | Case Management | 4200 Edmondson Ave Ste 103, Baltimore, MD 21229-1600 | 2020-04-22 |
| 1073149183 | Inner County Outreach, Inc. | Case Management | 529 Edmund St, Aberdeen, MD 21001-3429 | 2020-03-20 |
| 1376177170 | Center for Community Services | Case Management | 8041 White Jasmine Ct, Ellicott City, MD 21043-4984 | 2020-03-02 |
| 1811521404 | Center for Children, Inc. | Case Management | 4550 Forbes Blvd Ste 350, Lanham, MD 20706-4394 | 2020-02-24 |
| Find all providers with the same taxonomy | ||||
| City | PRINCE FREDERICK |
| Zip Code | 20678 |
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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.