Tidemark Intervention Services
NPI 1720595242 · Clinical Social Worker · Baltimore, MD
Enrolled with Medicare as Part B Supplier - Clinic/Group Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Tidemark Intervention Services is a Clinical Social Worker organization in Baltimore, MD (NPI 1720595242).
Provider details
- NPI number
- 1720595242
- Entity type
- Organization
- Primary specialty
- Clinical Social WorkerBehavioral Health & Social Service Providers
- Organization subpart
- No
- Authorized official
- Ryne Laxton, Ceo(484) 432-7882
Specialties & taxonomies
Behavioral Health & Social Service Providers
- Clinical Social Worker1041C0700X
Behavioral Health & Social Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2018-01-05
- Last updated
- 2022-08-16
- Certified
- 2022-08-16
Frequently asked questions
- What is Tidemark Intervention Services's NPI number?
- Tidemark Intervention Services's National Provider Identifier (NPI) is 1720595242, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Tidemark Intervention Services?
- Tidemark Intervention Services is classified in the NPPES registry as Clinical Social Worker (Behavioral Health & Social Service Providers).
- Where is Tidemark Intervention Services located?
- Tidemark Intervention Services's practice location on file with NPPES is 7822 Eastern Ave, Baltimore, MD 21224-2115.
- What is Tidemark Intervention Services's phone number?
- The practice phone number listed in the NPPES registry for Tidemark Intervention Services is (443) 596-8178.
- Does Tidemark Intervention Services accept Medicare?
- Tidemark Intervention Services is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Tidemark Intervention Services?
- The authorized official listed on Tidemark Intervention Services's NPPES record is Ryne Laxton, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Tidemark Intervention Services's NPI active?
- Yes — Tidemark Intervention Services's NPI (1720595242) is active in the NPPES registry as of the last update on 2022-08-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.