ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
NPI 1972114403
Social Worker - Clinical in Catonsville, MD

NPI Status: Active since August 10, 2020

Contact Information

711 MAIDEN CHOICE LN
CATONSVILLE, MD
ZIP 21228
Phone: (410) 247-5602
Fax: (410) 242-1756

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  • Organization
  • Social Worker
  • Clinical

About ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC

This page provides the complete NPI Profile along with additional information for Erickson Health Medical Group Of Maryland, Pc, a provider established in Catonsville, Maryland operating as a Social Worker, focusing in clinical . The healthcare provider is registered in the NPI registry with number 1972114403 assigned on August 2020. The practitioner's primary taxonomy code is 1041C0700X. The provider is registered as an organization and their NPI record was last updated 5 years ago. Erickson Health Medical Group Of Maryland, Pc operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The authorized official of this NPI record is Donna Ethel Rachuba (Medical Staff Services Director)

NPI
1972114403
Provider Name
ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
Entity Type
Organization
Location Address
711 MAIDEN CHOICE LN CATONSVILLE, MD 21228
Location Phone
(410) 247-5602
Location Fax
(410) 242-1756
Mailing Address
PO BOX 783712 PHILADELPHIA, PA 19178
Mailing Phone
(800) 360-3851
Mailing Fax
(410) 242-1756
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-10-2020
Last Update Date
08-10-2020
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A clinical social worker like Erickson Health Medical Group Of Maryland, Pc is licensed to diagnose and treat mental, behavioral, and emotional disorders. A clinical social worker helps patients develop strategies to change behavior or cope with difficult situations and refer patients to other resources or services, such as support groups or other mental health professionals.

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Social Worker Clinical

Taxonomy Code
1041C0700X
Type
Behavioral Health & Social Service Providers
Taxonomy Description
A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1104100000XBehavioral Health & Social Service Providers

Social Worker

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DONNA ETHEL RACHUBA

Authorized Official Title
MEDICAL STAFF SERVICES DIRECTOR
Authorized Official Phone
(410) 402-2258

Reviews for ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1972114403
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2914221840
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 9 + 1 + 4 + 2 + 2 + 1 + 8 + 4 + 0 + 24 = 57
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
60 - 57 = 33

The NPI number 1972114403 is valid because the calculated check digit 3 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1548235336 BRIAN SHARKEY CRNP
Individual
Nurse Practitioner (Adult Health)711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1265407068 MARIE MCCARTHY APRN
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health)711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1487609590 KATHRYN ANN BLACKFORD CRNP
Individual
Nurse Practitioner (Gerontology)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1316937329MS. ANN MARIE BUTTERWORTH CRNP
Individual
Nurse Practitioner711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1134194939 DENEEN BOWLIN MD
Individual
Internal Medicine711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1093907982 AMY E MUTCH CRNP
Individual
Internal Medicine (Geriatric Medicine)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 242-5602
1306352000 NICOLE ANNE DOZIER LCSW-C
Individual
Social Worker (Clinical)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1376832584 KRISTIN DAVIDSON BURKHARDT
Individual
Nurse Practitioner (Adult Health)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1689724692ERICKSON HEALTH MEDICAL GROUP OF MARYLAND, PC
Organization
Durable Medical Equipment & Medical Supplies711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1003433285MRS. IJA LYNN DELIA
Individual
Nurse Practitioner (Gerontology)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1104100882 ASSIATU B. BARRIE FNP
Individual
Nurse Practitioner (Family)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 737-8838
1881669687 DAINA BUIVYS APRN
Individual
Clinical Nurse Specialist (Psychiatric/Mental Health, Adult)711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1922599984 SHANNON LEA MILLER LCSW-C
Individual
Social Worker (Clinical)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1992271316MS. LESLIE-ANN N MARTIN CRNP
Individual
Nurse Practitioner (Adult Health)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 402-5602
1073588596 MYLA CARPENTER MD
Individual
Internal Medicine711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1285666818 TERRY MARIE TAN DPM
Individual
Podiatrist711 MAIDEN CHOICE LN
BALTIMORE, MD 21228
(410) 247-5602
1295796704 MING YI MD
Individual
Internal Medicine (Geriatric Medicine)711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1750310660 ABEBE SILA IMIRU M.D.
Individual
Internal Medicine711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1992968960 LAKSHMI MEENAKSHISUNDARAM MD
Individual
Internal Medicine711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602
1598816449ERICKSON HEALTH MEDICAL GROUP OF MARYLAND PC
Organization
Internal Medicine711 MAIDEN CHOICE LN
CATONSVILLE, MD 21228
(410) 247-5602

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1972114403, enumerated in the NPI registry as an "organization" on August 10, 2020

The provider is located at 711 Maiden Choice Ln Catonsville, Md 21228 and the phone number is (410) 247-5602

This medical organization specializes in Social Worker with taxonomy code 1041C0700X with a focus in Clinical

This NPI record was last updated on August 10, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.