Provider Demographics
NPI:1316035322
Name:ORTT, BARBARA T (LCSWC)
Entity type:Individual
Prefix:MRS
First Name:BARBARA
Middle Name:T
Last Name:ORTT
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2336 GODDARD PARKWAY
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MD
Mailing Address - Zip Code:21801
Mailing Address - Country:US
Mailing Address - Phone:410-334-6961
Mailing Address - Fax:410-334-6960
Practice Address - Street 1:29520 CANVASBACK DR
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:MD
Practice Address - Zip Code:21601-7124
Practice Address - Country:US
Practice Address - Phone:410-822-5007
Practice Address - Fax:410-822-5569
Is Sole Proprietor?:No
Enumeration Date:2006-10-11
Last Update Date:2010-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD094851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD2854527-000OtherMAGELLAN BEHAVIORAL HEALT
517251OtherUHC MAMSI GROUP #
MD604431-04OtherCAREFIRST BCBS-PIN
MD5221546095OtherAMERICAN PSYCH SYSTEM
DCR968OtherCAREFIRST FEDERAL GROUP
MD609550002Medicaid
MD0032OtherCAREFIRST BCBS-FED-PIN
MD259147000OtherMAGELLAN GROUP
MD522156095OtherNCPPO
MDLM49EAOtherCAREFIRST BCBS GROUP
DCR968OtherCAREFIRST FEDERAL GROUP