Healthcare Provider Details

I. General information

NPI: 1841537255
Provider Name (Legal Business Name): JOHNS HOPKINS HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/07/2013
Last Update Date: 01/07/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

IV. Provider business mailing address

1800 ORLEANS ST
BALTIMORE MD
21287-0010
US

V. Phone/Fax

Practice location:
  • Phone: 410-502-2958
  • Fax:
Mailing address:
  • Phone: 410-502-2958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number12044
License Number StateMD

VIII. Authorized Official

Name: MRS. DIANE VOLPE PICKETT
Title or Position: SUPERVIOSR SOCIAL WORK
Credential: LCSW-C
Phone: 410-502-2958