Tidemark Intervention Services
Tidemark Intervention Services provides Clinical Social Worker services in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2018.
- Licensed in
- MD
- In the registry since
- 2018
- Specialties on file
- 2
Practice location Address checks out
7822 Eastern AveBaltimore, MD 21224-2115
Phone: (443) 596-8178
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Specialties & licences
| Clinical Social Worker (primary) | Taxonomy 1041C0700X · Licence 18885 (MD) |
|---|---|
| Clinical Social Worker | Taxonomy 1041C0700X |
Record details
| NPI number | 1720595242 |
|---|---|
| Entity type | Organization (Type 2) |
| Organization subpart | No |
| Authorized official | Ryne Laxton — Ceo · (484) 432-7882 |
| NPI enumerated | January 5, 2018 |
| Last updated in NPPES | August 16, 2022 |
| Certification date | August 16, 2022 |
| Mailing address | 7822 Eastern Ave, Baltimore, MD 21224-2115 |
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