- Practice location
- 1 Eastern Blvd, Essex, MD 21221-7016
- Phone
- 718-298-4375
- Fax
- —
- Last updated
- January 11, 2021
Supportive Care Of Maryland LLC is a healthcare organization based in Essex, MD. Supportive Care Of Maryland LLC practices in Essex, MD. The NPI Number for Supportive Care Of Maryland LLC is 1881283364. The current practice location address for Supportive Care Of Maryland LLC is 1 Eastern Blvd, Essex, MD 21221-7016 and can be reached out via phone at 718-298-4375.
Provider Profile Details
- NPI Number
- 1881283364
- Provider Name
- Supportive Care Of Maryland LLC
- Provider Entity Type
- Organization
- Address
- 1 Eastern Blvd, Essex, MD 21221-7016
- Phone Number
- 718-298-4375
- Primary Taxonomy
- Psychologist, Clinical · 103TC0700X
- Organization Subpart
- No
- Authorized Official
- Raphael Lichtschein · President · 718-506-1115
- Provider Enumeration Date
- January 11, 2021
- Last Update Date
- January 11, 2021
- Certification Date
- January 11, 2021
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Eastern Blvd
Essex, MD 21221-7016 - City
- Essex
- State
- Maryland
- Zip
- 21221-7016
- Phone Number
- 718-298-4375
Provider Business Mailing Address Details
- Address
- 27 Randolph RD
Howell, NJ 07731-8611 - City
- Howell
- State
- NJ
- Zip
- 07731-8611
- Phone Number
- 718-298-4375
License Information
- Taxonomy (1)
- Social Worker, Clinical · 1041C0700X
- Taxonomy (2)
- Nurse Practitioner, Psych/Mental Health · 363LP0808X
- Taxonomy (3)
- Psychologist, Clinical · 103TC0700X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Psychologist, Clinical providers near Essex, MD
View all Psychologist, Clinical providers in Essex →Frequently Asked Questions
What is the NPI number of Supportive Care Of Maryland LLC?
The NPI number of Supportive Care Of Maryland LLC is 1881283364. It was assigned on January 11, 2021 and is currently active in the NPPES registry.
What is the specialty of Supportive Care Of Maryland LLC?
Supportive Care Of Maryland LLC is registered under the primary taxonomy Psychologist, Clinical (code 103TC0700X).
Where does Supportive Care Of Maryland LLC practice?
The practice location is 1 Eastern Blvd, Essex, MD 21221-7016. The office can be reached at 718-298-4375 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1881283364 directly on the NPPES registry website.