MEDICARE: CALVERT COUNTY HEALTH DEPARTMENT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QM0801X	Mental Health Clinic/Center (Including Community Mental Health Center)

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	260318800	OTHER	MD	LICENSE

General Provider Information

NPI Number	:	1417802737
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	CALVERT COUNTY HEALTH DEPARTMENT

Provider Business Mailing Address
First Line	:	PO BOX 1158
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-1158
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	975 SOLOMONS ISLAND RD N STE 119
Second Line	:
City	:	PRINCE FREDERICK
State	:	MD
Zip	:	20678-3917
Country	:	US
Telephone Number	:	410-535-5400
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	DENISE DICKERSON
Credential	:	LCPC
Telephone Number	:	443-771-6524

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/16/2026

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Directions to “CALVERT COUNTY HEALTH DEPARTMENT ” Practice Location

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