SOUTHERN MARYLAND COMMUNITY NETWORK INC (NPI# 1942514518) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1942514518 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MARYLAND COMMUNITY NETWORK INC |
| Practice Address |
41900 Fenwick St Suite #5 Leonardtown MD 20650-3814 |
| Mailing Address |
Po Box 998 Prince Frederick MD 20678-0998 |
| Practice Telephone | 3014759315 |
| Practice Fax Number | 3014759317 |
| Mailing Telephone | 4105354787 |
| Mailing Fax Number | 4105354965 |
| Enumeration Date | 2010-08-05 |
| Last Update Date | 2017-04-05 |
| Authorized Official Name | KAREN E CARLONI (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 4105354787 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | MD | Residential Treatment Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MD | 2578417 02 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922374651 | Southern Maryland Community Network Inc | Case Management | 2670 Crain Hwy, Suite 505, Waldorf, MD 20601-2806 | 2012-03-27 |
| 1073800843 | Southern Maryland Community Network Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy, Suite #505, Waldorf, MD 20601-2806 | 2011-06-30 |
| Street Address |
41900 FENWICK ST SUITE #5 |
| City | LEONARDTOWN |
| State | MD |
| Zip Code | 20650-3814 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265487888 | H Joseph Miller | Psychologist | 41900 Fenwick St, Suite 1, Leonardtown, MD 20650-3813 | 2006-05-23 |
| 1275143638 | Aujah Griffin | Social Worker | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2020-07-31 |
| 1912530056 | Julie Green | Counselor | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2020-02-18 |
| 1801371984 | Shanice Fenwick | Social Worker | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2018-09-25 |
| 1487156840 | Joy Adams | Counselor | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2018-03-01 |
| 1619405677 | Jessica Thompson | Social Worker | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2017-06-02 |
| 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 |
| 1366982605 | Jasmine Flewellen | Social Worker | 41900 Fenwick St, Suite 1, Leonardtown, MD 20650-3814 | 2017-03-06 |
| 1114370848 | Center for Children Inc. | Home Health | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2016-07-18 |
| 1881042265 | Stefani K Castro | Social Worker | 41900 Fenwick St, Leonardtown, MD 20650-3814 | 2016-05-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831665819 | Delahay Healthcare Services LLC | Home Health Aide | 40001 Stillwater Ln, Leonardtown, MD 20650 | 2018-10-17 |
| 1891241519 | Aaron Dailey | Pharmacist | 40955 Merchant Lane, Leonardtown, MD 20650 | 2016-09-01 |
| 1720483936 | Joy Jay, Inc | Dentist | 41630 Courthouse Dr., Leonardtown, MD 20650 | 2014-10-30 |
| 1497092605 | Deborah Ann Duley | Social Worker | 41660 Courthouse Drive, Suite 201c, Leonardtown, MD 20650 | 2013-01-08 |
| 1962757104 | Sense-ability, LLC | Occupational Therapy Assistant | 41680 Miss Bessie Dr Ste 103, Leonardtown, MD 20650 | 2012-07-13 |
| 1578876264 | Belitehorizonmedicalcenter | Psychiatry & Neurology | 26825 Pointlook Out Road, Stee, Leonardtown, MD 20650 | 2010-07-22 |
| 1043544497 | Hanger Prosthetics & Orthotics Inc | Durable Medical Equipment & Medical Supplies | 41680 Courthouse Dr, Leonardtown, MD 20650 | 2009-10-01 |
| 1487892899 | Valentina Savel | Nurse Anesthetist, Certified Registered | 25500 Pt Lookout Rd, Leonardtown, MD 20650 | 2009-01-23 |
| 1174786362 | Henry Todd Allen | Dentist | 22690 Washington Street, Leonardtown, MD 20650 | 2008-07-08 |
| 1487813192 | St Mar's County Dept of Human Services | Public Health or Welfare | 23115 Leonard Hall Drive, Department of Human Services, Leonardtown, MD 20650 | 2008-06-06 |
| Find all providers in zip 20650 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1477190353 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 41900 Fenwick St Ste 5, Leonardtown, MD 20650-3815 | 2019-12-10 |
| 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1356942361 | Psychotherapeutic Treatment Services, Inc. | Community Based Residential Treatment Facility, Mental Illness | 1300 Ritchie Hwy Ste D-e, Arnold, MD 21012-2244 | 2020-11-05 |
| 1649882606 | Brooke Brody Licensed Clinical Social Worker, PC | Community Based Residential Treatment Facility, Mental Illness | 15720 Seneca Rd, Germantown, MD 20874-3542 | 2020-08-20 |
| 1568073815 | Peaceful Minds Residential Services | Community Based Residential Treatment Facility, Mental Illness | 2733 Ashland Ave, Baltimore, MD 21205-1734 | 2020-08-11 |
| 1821636226 | Mission House Inc | Community Based Residential Treatment Facility, Mental Illness | 204 Brown St, Chestertown, MD 21620-1402 | 2019-12-16 |
| 1548807423 | Southern Maryland Community Network, Inc | Community Based Residential Treatment Facility, Mental Illness | 2670 Crain Hwy Ste 505, Waldorf, MD 20601-2819 | 2019-12-10 |
| 1407404429 | Ministering Angels LLC | Community Based Residential Treatment Facility, Mental Illness | 4605 Horizon Cir Apt 101, Pikesville, MD 21208-2395 | 2019-09-03 |
| 1891257598 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 8640 Ridge Rd, Ellicott City, MD 21043-4102 | 2019-04-02 |
| 1851853568 | Ijomah and Associates Inc | Community Based Residential Treatment Facility, Mental Illness | 1431 W Patrick St, Frederick, MD 21702-9061 | 2019-04-02 |
| 1649744327 | Monte Nido Maryland, LLC | Community Based Residential Treatment Facility, Mental Illness | 3100 Roxbury Mills Rd, Glenwood, MD 21738-9702 | 2019-01-16 |
| 1134692320 | Passionate Hands Transitional Housing | Community Based Residential Treatment Facility, Mental Illness | 3507 W Rogers Ave, Baltimore, MD 21215-4742 | 2019-01-10 |
| Find all providers with the same taxonomy | ||||
| City | LEONARDTOWN |
| Zip Code | 20650 |
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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.