NPI 1306408612 · live from the CMS NPI Registry
Atlantic General Hospital Corporation
Social Worker, Clinical in Berlin, MD. National Provider Identifier 1306408612, active.
NPI record
| NPI | 1306408612 Type 2 · organization |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 9714 Healthway Dr, Berlin, MD 21811 |
| Practice phone | 410-641-3340 |
| Mailing address | 10026 Old Ocean City Blvd, Bldg 1, Aghs Physician Billing Office, Berlin, MD 21811 |
| Enumerated | July 8, 2019 |
| Last updated | April 13, 2022 |
| Authorized official | Cheryl Nottingham, Vp Finance/Cfo |
| Other names | Aghs Behavorial |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Pediatrics, Developmental - Behavioral Pediatrics | 2080P0006X | — |
| Psychiatry & Neurology, Child & Adolescent Psychiatry | 2084P0804X | — |
| Clinic/Center, Developmental Disabilities | 261QD1600X | — |
| Clinic/Center, Mental Health (Including Community Mental Health Center) | 261QM0801X | — |
| Pediatrics, Neurodevelopmental Disabilities | 2080P0008X | — |
| Psychiatry & Neurology, Psychiatry | 2084P0800X | — |
| Clinic/Center, Adult Mental Health | 261QM0850X | — |
| Clinic/Center, Adolescent and Children Mental Health | 261QM0855X | — |
| Clinic/Center, Multi-Specialty | 261QM1300X | — |
| Clinic/Center, Pain | 261QP3300X | — |
| Social Worker, Clinical primary | 1041C0700X | — |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.