CARLIQUA SPENCER (NPI# 1235724105) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235724105 |
| Entity Type | Individual |
| Full Name | MRS. CARLIQUA SPENCER |
| Gender | Female |
| Credential | PMHNP-BC |
| Practice Address | 1212 N Wolfe St Baltimore MD 21213-3303 |
| Practice Telephone | 4102762123 |
| Mailing Address | 1212 N Wolfe St Baltimore MD 21213-3303 |
| Mailing Telephone | 4102762123 |
| Certification Date | 2021-03-03 |
| Enumeration Date | 2021-03-03 |
| Last Update Date | 2021-03-03 |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | Group | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|---|
| Y | 363LP0808X | Nurse Practitioner Specialization: Psychiatric/Mental Health | R221599 | MD | Physician Assistants & Advanced Practice Nursing Providers |
| Street Address | 1212 N WOLFE ST |
| City | BALTIMORE |
| State | MD |
| Zip Code | 21213-3303 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124615679 | Johns Hopkins University | Internal Medicine · Endocrinology, Diabetes & Metabolism | 1212 N Wolfe St, Baltimore, MD 21213-3303 | 2020-12-30 |
| 1477151223 | Erica Hill | Social Worker · Clinical | 1212 N Wolfe St, Baltimore, MD 21213-3303 | 2020-10-14 |
| 1528436771 | Polly Lecompte | Social Worker · Clinical | 1212 N Wolfe St, Baltimore, MD 21213-3303 | 2015-09-04 |
| 1801296686 | Sherry Kizielewicz · Sherry Funke | Social Worker · Clinical | 1212 N Wolfe St, Baltimore, MD 21213-3303 | 2014-08-28 |
| 1992128961 | Historic East Baltimore Community Action Coalition, Inc. | Community/Behavioral Health | 1212 N Wolfe St, Baltimore, MD 21213-3303 | 2014-01-28 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255954400 | Debobeth Medical Center | Psychiatry & Neurology · Addiction Psychiatry | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
| 1447873690 | Debobeth Medical Center | Psychiatry & Neurology · Behavioral Neurology & Neuropsychiatry | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
| 1508489758 | Debobeth Medical Center | Psychiatry & Neurology · Psychiatry | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-22 |
| 1225651433 | Debobeth Medical Center | Clinic/Center · Mental Health (Including Community Mental Health Center) | 3107-3109 Erdman Avenue, Baltimore, MD 21213 | 2020-05-21 |
| 1538627807 | Beverly V Whittaker-Mcdermott · Beverly V Mcdermott | Social Worker | 3007 E. Biddle Street, Baltimore, MD 21213 | 2019-03-06 |
| 1164926085 | Redeem Healthcare and Medical System Inc | Clinic/Center · Primary Care | 3240 Belair Rd Fl 1, Baltimore, MD 21213 | 2018-03-23 |
| 1942718614 | Wayne Palmer | Psychiatry & Neurology · Psychiatry | 3120 Erdman Ave, Baltimore, MD 21213 | 2018-01-16 |
| 1700398914 | Ags Programs LLC | Clinic/Center · Mental Health (Including Community Mental Health Center) | 1807 E. Preston Street, Wolfe Street Suite, Baltimore, MD 21213 | 2017-10-27 |
| 1558883918 | Dayspring Programs, Inc. | Substance Abuse Rehabilitation Facility | 1125 N. Patterson Park Avenue, Baltimore, MD 21213 | 2017-07-07 |
| 1699205294 | Live & Let Live LLC | Counselor · Professional | 3549 Elmley Avenue, Baltimore, MD 21213 | 2017-06-15 |
| Find all providers in zip 21213 | ||||
| Taxonomy Code | 363LP0808X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Psychiatric/Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487249025 | Olayemi Tosin Ayilegbe | 400 E Patapsco Ave, Baltimore, MD 21225-1830 | 2021-03-05 | |
| 1497349997 | Blue Spring Wellness Center LLC · Blue Spring Wellness Center LLC | 807 East Baltimore St, Unit 1a, Baltimore, MD 21202-5388 | 2021-02-24 | |
| 1912591637 | Behavioral Health Leadership Institute, Inc | 401 E Eager St, Baltimore, MD 21202-4214 | 2021-02-23 | |
| 1467042820 | Erika Elaine Stewart | 5820 York Rd Ste 201, Baltimore, MD 21212-3620 | 2021-01-20 | |
| 1710575808 | Ashley Gyer | 6501 N Charles St, Baltimore, MD 21204-6819 | 2021-01-05 | |
| 1003403031 | Kamiylah Lawson | 4201 Primrose Ave, Baltimore, MD 21215-3305 | 2020-12-23 | |
| 1700472362 | Vivian Wangechi Kamau | 400 W Franklin St, Baltimore, MD 21201-1872 | 2020-12-17 | |
| 1083210447 | Ashlee Joyce Crawford | 2 E Wells St Apt 356, Baltimore, MD 21230-4945 | 2020-12-09 | |
| 1992308696 | Marshall James | 601 N Eutaw St Apt 518, Baltimore, MD 21201-7410 | 2020-11-17 | |
| 1881295335 | Excellent Healthcare & Psychiatric Rehabilitation Program Services Inc | 4002 W Belvedere Ave Unit A, Baltimore, MD 21215-5502 | 2020-11-02 | |
| Find all providers in BALTIMORE | ||||
| City | BALTIMORE |
| Zip Code | 21213 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780062273 | Spencer Municipal Hospital · Avera Medical Group Spencer, A Department of Spencer Hospital | Family Medicine | 116 E 11th St, Suite 101, Spencer, IA 51301-4365 | 2015-05-15 |
| 1578550893 | Spencer Municipal Hospital · Warner Dialysis Center Spencer | Clinic/Center · End-Stage Renal Disease (ESRD) Treatment | 1721 W 18th St, Spencer, IA 51301-2827 | 2005-10-03 |
| 1972988137 | Spencer and Spencer Dmd Ps · Spencer Family Dental | Durable Medical Equipment & Medical Supplies · Customized Equipment | 3910 Martin Way E, Suite A1, Olympia, WA 98506-5220 | 2015-07-29 |
| 1578108478 | Spencer Municipal Hospital · Nwia Bone, Joint & Sports Surgeons, A Department of Spencer Hospital | Podiatrist · Foot & Ankle Surgery | 1200 1st Ave E Ste C, Spencer, IA 51301-4342 | 2019-11-14 |
| 1912105123 | Town of Spencer · Town of Spencer Board of Health | Clinic/Center | 157 Main Street, Spencer, MA 01562 | 2007-07-10 |
| 1871580662 | Spencer Municipal Hospital · Hospice of Spencer Hospital | Hospice Care, Community Based | 116 E 11th St, Spencer, IA 51301-4300 | 2005-10-05 |
| 1780671578 | Spencer Municipal Hospital · Community Health Services | Home Health | 116 E 11th St, Spencer, IA 51301-4342 | 2005-10-05 |
| 1417485186 | Norbert Michael Spencer · Norb Spencer | Counselor · Professional | 17 Oakwood Ave, West Hartford, CT 06119-2182 | 2017-05-25 |
| 1235389560 | Kathleen A Spencer · Kathy A Spencer | Physical Therapist | 13646 Nimes Ct, Chino Hills, CA 91709-1382 | 2008-09-23 |
| 1982815098 | Spencer Community Fire District | Ambulance | 105 East Lorain Street, Spencer, OH 44275 | 2007-05-24 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.