TRICO CLINICAL SERVICES, LTD (NPI# 1982032694) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982032694 |
| Entity Type | Organization |
| Organization Name | TRICO CLINICAL SERVICES, LTD |
| Practice Address |
46707 S. Shangri La Drive Lexington Park MD 20653 |
| Mailing Address |
P.o. Box 826 Lexington Park MD 20653 |
| Practice Telephone | 3018624961 |
| Practice Fax Number | 3018625554 |
| Mailing Telephone | 3018624961 |
| Mailing Fax Number | 3018625554 |
| Enumeration Date | 2013-10-16 |
| Last Update Date | 2013-10-16 |
| Authorized Official Name | WILLIAM E ARICK (PRESIDENT) |
| Authorized Official Telephone | 3018624961 |
| Authorized Official Credential | LCPC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
MD | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1912324161 | Trico Clinical Services, Ltd | Counselor | 6040 Radio Station Rd, La Plata, MD 20646-3368 | 2014-03-26 |
| 1548440555 | Trico Clinical Services, Ltd | Counselor | 46940 S. Shangri La Drive, Lexington Park, MD 20653 | 2007-11-07 |
| 1710304969 | Trico Clinical Services, Ltd | Counselor | 12705 Country Ln, Waldorf, MD 20601-3399 | 2014-03-26 |
| 1255758405 | Trico Clinical Services, Ltd | Counselor | 5606 Dower House Rd, Upper Marlboro, MD 20772-3604 | 2014-03-26 |
| Street Address |
46707 S. SHANGRI LA DRIVE |
| City | LEXINGTON PARK |
| State | MD |
| Zip Code | 20653 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386258929 | Suzette Jones | Nurse Practitioner | Chesapeake Shores Nursing Home, 21412 Great Mills Road, Lexington Park, MD 20653 | 2020-09-01 |
| 1659910214 | Shannon Dawn Morley | Family Medicine | 45870 E Run Dr, Lexington Park, MD 20653 | 2019-12-31 |
| 1366080533 | Crystal Lynn Bradford | Counselor | 21770 Fdr Blvd., Lexington Park, MD 20653 | 2019-12-18 |
| 1205487584 | Paulette Tyrone Scriber | Technician | 20286 Scriber Ln, Lexington Park, MD 20653 | 2019-09-26 |
| 1073162103 | Bambii Kreal | Counselor | 21770 Franklin Delano Roosevelt Blvd, Lexington Park, MD 20653 | 2019-09-11 |
| 1376039479 | Arianna Marie Day | Social Worker | 21789 N Coral Drive - Ste 2a, Bowes and Associates Psychotherapy LLC, Lexington Park, MD 20653 | 2018-07-02 |
| 1891047726 | Axis Healthcare Group | Social Worker | 45870 East Run Drive, Lexington Park, MD 20653 | 2012-10-02 |
| 1013164466 | Denise Owens Mullinix | Dentist | 22749 Maple Road, Lexington Park, MD 20653 | 2008-08-27 |
| 1548440555 | Trico Clinical Services, Ltd | Counselor | 46940 S. Shangri La Drive, Lexington Park, MD 20653 | 2007-11-07 |
| 1578761425 | Shah Associates Md LLC | Internal Medicine | Lexington Park Medical Center, 22335 Exploration Park, Lexington Park, MD 20653 | 2007-07-03 |
| Find all providers in zip 20653 | ||||
| Taxonomy Code | 261QM0855X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Adolescent and Children Mental Health |
| An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to mental and behavioral disorders in children and adolescents. Services may be provided to parents and family members of the patient in the form of conjoint, group, or individual therapy, and education and/or training. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881209815 | Stride Forward Counseling LLC | Clinic/Center | 9 Newburg Ave Ste 102, Catonsville, MD 21228-5157 | 2020-09-15 |
| 1033724513 | S and S Properties 3 | Clinic/Center | 6122 Reisterstown Rd, Baltimore, MD 21215-3423 | 2020-09-11 |
| 1205440195 | Kevin Eugene Harvell | Clinic/Center | 3435 Greenmount Ave Ste 1, Baltimore, MD 21218-2942 | 2020-09-08 |
| 1528679834 | Erc Maryland | Clinic/Center | 7505 Osler Dr Ste 405, Towson, MD 21204-7739 | 2020-08-11 |
| 1245879386 | Anne Arundel County, Maryland | Clinic/Center | 839 Bestgate Rd Ste 300, Annapolis, MD 21401-3473 | 2020-01-06 |
| 1720627581 | Johns Hopkins Bayview Medical Center, Inc. | Clinic/Center | 5500 East Lombard Street, Room 1025, Baltimore, MD 21224 | 2019-12-27 |
| 1841847241 | Imperial Healthcare Services LLC | Clinic/Center | 547 Riverside Dr Ste A, Salisbury, MD 21801-5369 | 2019-08-20 |
| 1437714862 | Bolton Therapy & Wellness | Clinic/Center | 1534 Bolton St Ste 1, Baltimore, MD 21217-4203 | 2019-05-01 |
| 1497213581 | Pathways Inc | Clinic/Center | 2670 Crain Hwy Ste 300, Waldorf, MD 20601-2817 | 2019-03-07 |
| 1629553037 | Win Team, LLC | Clinic/Center | 7 Pleasant View Chrurch Road, Port Deposit, MD 21904 | 2018-10-02 |
| Find all providers with the same taxonomy | ||||
| City | LEXINGTON PARK |
| Zip Code | 20653 |
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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.