Organization
SHEPPARD PRATT HEALTH SYSTEM, INC.
Active
Other names
Sheppard Pratt School Lanham, Forbush School at Edgar Allen Poe
Organization subpart
No
Provider details
NPI number
Authorized official
JESSICA DORSEY (COMPLIANCE)
(410) 517-5551
Entity
Organization
Contact information
Practice address
4819 WALDEN LN STE 4880, LANHAM, MD 20706-4826
(240) 667-1423
(240) 764-6764
Mailing address
PO BOX 79751, BALTIMORE, MD 21279-0751
(410) 517-5551
(443) 659-2429
Taxonomy
Speciality
Code
Description
License number
State
261QM0855X
Adolescent and Children Mental Health Clinic/Center
Primary
3960
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3960
SCHOOL LICENSE NUMBER
MD
05
—
411238500
—
MD
Enumeration date
01/22/2007
Last updated
04/28/2026
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