Healthcare Provider Details

I. General information

NPI: 1518270263
Provider Name (Legal Business Name): YWCA OF ANNAPOLIS & ANNE ARUNDEL COUNTY
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/23/2010
Last Update Date: 06/05/2024
Certification Date: 06/05/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1517 RITCHIE HWY
ARNOLD MD
21012-2461
US

IV. Provider business mailing address

1517 RITCHIE HWY
ARNOLD MD
21012-2461
US

V. Phone/Fax

Practice location:
  • Phone: 410-626-7800
  • Fax: 410-626-7312
Mailing address:
  • Phone: 410-626-7800
  • Fax: 410-626-7312

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code101YP1600X
TaxonomyPastoral Counselor
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State

VIII. Authorized Official

Name: MOLLY KNIPE
Title or Position: CEO
Credential:
Phone: 410-626-7800