| Building Blocks Healthcare Network Llc | |
| 
					3242 Esther Pl Baltimore MD 21224-1431  | |
| (410) 725-1435 | |
| Not Available | 
| Full Name | Building Blocks Healthcare Network Llc | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 3242 Esther Pl, Baltimore, Maryland | 
| Authorized Official Name and Position | Kristy Teresa Godwin (OWNER) | 
| Authorized Official Contact | 4436514019 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Building Blocks Healthcare Network Llc 13603 Mary Bowie Pkwy Upper Marlboro MD 20774-9075 Ph: (443) 651-4019  | Building Blocks Healthcare Network Llc 3242 Esther Pl Baltimore MD 21224-1431 Ph: (410) 725-1435  | 
| NPI Number | 1063074839 | 
|---|---|
| Provider Enumeration Date | 07/02/2019 | 
| Last Update Date | 07/12/2022 | 
| Certification Date | 07/12/2022 | 
| Medicare PECOS PAC ID | 9638588346 | 
|---|---|
| Medicare Enrollment ID | O20210511000166 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1063074839 | NPI | - | NPPES | 
| Provider Name | Laura Joseph | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1568903235 PECOS PAC ID: 6901173939 Enrollment ID: I20170523002591  | 
| Provider Name | Blanche Kattie | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1013426824 PECOS PAC ID: 3274899711 Enrollment ID: I20191127001708  | 
| Provider Name | Atesha Woods | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1427202530 PECOS PAC ID: 5395174536 Enrollment ID: I20200409000330  | 
| Provider Name | Brittany P Harris | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1700303682 PECOS PAC ID: 3577972033 Enrollment ID: I20210513000140  | 
| Provider Name | Alayna Casanova | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1174996110 PECOS PAC ID: 4587063862 Enrollment ID: I20210519002069  | 
| Provider Name | Chiamaka Nnah | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1205587284 PECOS PAC ID: 1557758315 Enrollment ID: I20220425002739  | 
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