Tanorah St. John is a Clinical in Baltimore, Maryland. Tanorah St. John practices all healthcare services and medical treatments related to Clinical. The NPI Number for Tanorah St. John is 1720288541. The last update date is 2007-07-19.
Tanorah St. John's current location address is 2911 E Northern Pkwy, Baltimore, Maryland. You can contact this provider via phone number 4107188869. The mailing address for Tanorah St. John is 2911 E Northern Pkwy, Baltimore, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tanorah St. John |
|---|---|
| Address | 2911 E Northern Pkwy, Baltimore, Maryland |
| Phone Number | 4107188869 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1720288541 |
|---|---|
| Provider Enumeration Date | 2007-07-19 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 2911 E Northern Pkwy |
|---|---|
| City | Baltimore |
| State | Maryland (MD) |
| Post Code | 212141220 |
| Phone Number | 4107188869 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Clinical |
|---|---|
| Taxonomy | 1041C0700X |
| Licence No | 12896 |
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Definition: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certif |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| N1650001 | DC | CAREFIRST BLUECROSS BLUES | |
| 64877701 | MD | CAREFIRST BLUECROSS BLUES |
Post Comment/ Review Below
What is the Tanorah St. John's 1720288541?
The Tanorah St. John's NPI (National Provider Identifier) Number is 1720288541. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Tanorah St. John's physical address?
The Tanorah St. John is physically located at 2911 E Northern Pkwy, in the city of Baltimore, MD, with the postal code 212141220.
What is Tanorah St. John's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Tanorah St. John is Clinical, and the corresponding taxonomy classification code for this specialized field is 1041C0700X.
On what date did the Centers for Medicare & Medicaid Services issue the 1720288541 to Tanorah St. John?
The Tanorah St. John received its 1720288541 assignment from the Centers for Medicare & Medicaid Services on 2007-07-19.
When was the information pertaining to Tanorah St. John most recently updated or revised?
The details related to Tanorah St. John, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-19.
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