Provider Demographics
NPI:1881818516
Name:HIGH ROAD SCHOOL
Entity Type:Organization
Organization Name:HIGH ROAD SCHOOL
Other - Org Name:SPECIALIZED EDUCATION OF MARYLAND
Other - Org Type:Other Name
Authorized Official - Title/Position:SCHOOL SOCIAL WORKER
Authorized Official - Prefix:
Authorized Official - First Name:ANGELA
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAMARA
Authorized Official - Suffix:
Authorized Official - Credentials:LGSW
Authorized Official - Phone:301-324-8905
Mailing Address - Street 1:7707 GERMAN HILL RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-1525
Mailing Address - Country:US
Mailing Address - Phone:301-324-8905
Mailing Address - Fax:301-324-8904
Practice Address - Street 1:8723 ASHWOOD DRIVE
Practice Address - Street 2:
Practice Address - City:CAPITOL HEIGHTS
Practice Address - State:MD
Practice Address - Zip Code:20743
Practice Address - Country:US
Practice Address - Phone:301-324-8905
Practice Address - Fax:301-324-8904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-12
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251300000XAgenciesLocal Education Agency (LEA)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD=========Medicaid