Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Tidemark Intervention Services

Organization Clinical Social Worker · NPI 1720595242

Tidemark Intervention Services is a Clinical Social Worker in Baltimore, Maryland. Licensed in Maryland. Registered with an NPI since 2018.

Licensed in
MD
In the registry since
2018
Specialties on file
2

Practice location Address checks out

7822 Eastern Ave
Baltimore, MD 21224-2115
Phone: (443) 596-8178
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Clinical Social Worker (primary) Taxonomy 1041C0700X · Licence 18885 (MD)
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1720595242
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ryne Laxton — Ceo · (484) 432-7882
NPI enumeratedJanuary 5, 2018
Last updated in NPPESAugust 16, 2022
Certification dateAugust 16, 2022
Mailing address7822 Eastern Ave, Baltimore, MD 21224-2115

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