# POTOMAC CASE MANAGEMENT SERVICES, INC.

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1376919365
- **Authorized official:** MRS. DAWN RENEE JOHNS (EXECUTIVE DIRECTOR)
- **Authorized official phone:** (301) 791-3087

## Contact information

- **Practice address:** 1446 W PATRICK ST STE 16, FREDERICK, MD 21702-3201
- **Practice address phone:** (301) 791-3087
- **Practice address fax:** (301) 393-0730
- **Mailing address:** 22 S MARKET ST, SUITE 4, FREDERICK, MD 21701-5570
- **Mailing address phone:** (301) 791-3087

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 101YM0800X | Mental Health Counselor | — | NULL | Yes |
| 101YM0800X | Mental Health Counselor | — | — | Yes |
| 1041C0700X | Clinical Social Worker | — | NULL | — |
| 1041C0700X | Clinical Social Worker | — | — | — |

## Other

- **Enumeration date:** 08/13/2015
- **Last updated:** 02/10/2023