Provider Demographics
NPI:1659609022
Name:WORCESTER COUNTY TARGETED CASE MANAGEMENT
Entity Type:Organization
Organization Name:WORCESTER COUNTY TARGETED CASE MANAGEMENT
Other - Org Name:TARGETED CASE MANAGEMENT
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR, ADMINISTRATIVE SERVICES
Authorized Official - Prefix:MRS
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:A
Authorized Official - Last Name:BARTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-632-1100
Mailing Address - Street 1:P.O. BOX 249
Mailing Address - Street 2:WORCESTER COUNTY HEALTH DEPARTMENT
Mailing Address - City:SNOW HILL
Mailing Address - State:MD
Mailing Address - Zip Code:21863
Mailing Address - Country:US
Mailing Address - Phone:410-632-1100
Mailing Address - Fax:410-632-2476
Practice Address - Street 1:6040 PUBLIC LANDING ROAD
Practice Address - Street 2:WORCESTER CO. HEALTH DEPT. - TARGETED CASE MANAGEMENT
Practice Address - City:SNOW HILL
Practice Address - State:MD
Practice Address - Zip Code:21863
Practice Address - Country:US
Practice Address - Phone:410-632-1100
Practice Address - Fax:410-632-2476
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-24
Last Update Date:2023-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD835860500Medicaid
MDS013Medicare PIN