Organization · Type 2 NPI

Healthport

Community/Behavioral Health Agency · Cambridge, MD

NPI number 1417424466 Active

Practice location

828 Airpax Rd # 600B
Cambridge, MD 21613-6401

Call (443) 493-2429 Map

Mailing address

208 E Main St Ste C
Salisbury, MD 21801-4923

Specialties and licenses

Taxonomy	Code	License
Community/Behavioral Health Agency Primary	251S00000X	None listed

Community/Behavioral Health Agency: A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day suppo…

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NPI record

NPI: 1417424466
Entity type: Organization (Type 2)
Issued: Oct 29, 2018
Last updated: Jun 24, 2025
Status: Active
Subpart: Yes of Healthport

Other names

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Lower Shore Clinic, Inc · former legal business name

Authorized official

Kristine Gartlitz, LCSW-C
Clinic Director
(410) 341-3420

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1417424466

Healthport's National Provider Identifier is 1417424466, issued on Oct 29, 2018. The primary taxonomy on file is Community/Behavioral Health Agency (251S00000X), and the practice location is in Cambridge, MD. The record was last updated on Jun 24, 2025.