Organization
JOHNS HOPKINS UNIVERSITY
Active
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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