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Organization

JOHNS HOPKINS UNIVERSITY

Active
Other names
JHU - PSYCHIATRY/LCSW'S
Organization subpart
No

Provider details

NPI number
Authorized official
SHAVONDA L KEATING (SR PRODUCTION UNIT MGR)
(410) 933-6430
Entity
Organization

Contact information

Practice address
600 N WOLFE ST, BALTIMORE, MD 21287-0005
(410) 955-5129
Mailing address
PO BOX 64260, BALTIMORE, MD 21264-4260

Taxonomy

Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
104100000X
Social Worker
1041C0700X
Clinical Social Worker
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
150009100
MD
05
405355900
MD
01
CD6088
RRMC
MD
Enumeration date
12/02/2005
Last updated
03/07/2021
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