Provider Demographics
NPI:1982749701
Name:POTOMAC CASE MANAGEMENT SERVICES, INC.
Entity Type:Organization
Organization Name:POTOMAC CASE MANAGEMENT SERVICES, INC.
Other - Org Name:POTOMAC COMMUNITY SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:DAWN
Authorized Official - Middle Name:R
Authorized Official - Last Name:JOHNS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-791-3087
Mailing Address - Street 1:324 E ANTIETAM ST
Mailing Address - Street 2:SUITE 301
Mailing Address - City:HAGERSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21740-5754
Mailing Address - Country:US
Mailing Address - Phone:301-791-3087
Mailing Address - Fax:301-393-0730
Practice Address - Street 1:324 E ANTIETAM ST
Practice Address - Street 2:SUITE 301
Practice Address - City:HAGERSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21740-5754
Practice Address - Country:US
Practice Address - Phone:301-791-3087
Practice Address - Fax:301-393-0730
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-02-20
Last Update Date:2023-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251B00000XAgenciesCase Management
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Single Specialty