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Contact Information

MEDITELECARE OF MARYLAND LLC
7 SAINT PAUL ST STE 820
BALTIMORE, MD21202-1681
 Phone: 860-788-6404
 Fax: 860-829-0495
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Psychologist

103T00000X 62 Psychologist, Clinical
 

Clinical

103TC0700X 62 Psychologist, Clinical
 

Clinical

1041C0700X 80 Licensed Clinical Social Worker
 

Neurology

2084N0400X 13 Physician/Neurology
 

Nurse Practitioner

363L00000X 50 Nurse Practitioner
 

Psychiatric/Mental Health

363LP0808X 50 Nurse Practitioner
 

Psychiatry

2084P0800X 26 Physician/Psychiatry
 

Social Worker

104100000X
Indicates primary specialty

NPI Profile & details for MEDITELECARE OF MARYLAND LLC

NPI # 1083297089
LBN Legal business name MEDITELECARE OF MARYLAND LLC
Authorized official ANDREA GODFREY - (CREDENTIALING & ENROLLMENT MANAGER)
Entity Organization
Organization subpart 1 No
Enumeration date 04/28/2021
Last updated 05/16/2025 - More than a year ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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