CORSICA RIVER MENTAL HEALTH SERVICES
NPI 1770716458
Community/Behavioral Health in Centreville, MD
About Corsica River Mental Health Services NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
CORSICA RIVER MENTAL HEALTH SERVICES (NPI 1770716458) is a healthcare organization registered as a community/behavioral health in Centreville, Maryland and active in the NPI registry since August 2009. The organization lists Tuesday Trott, Administrator, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Corsica River Mental Health Services is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
15Medicare enrollment records show 15 clinicians reassign Medicare billing to Corsica River Mental Health Services, which bills Medicare for the services they deliver. They are listed nearest first.
Clinicians by Medicare Specialty 4
Clinicians, nearest first (15)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Lower Shore Clinic, Inc.'s NPI number?
The NPI number for Lower Shore Clinic, Inc. is 1770716458. It was assigned to this organization in the NPPES registry on August 28, 2009. The provider is doing business as Corsica River Mental Health Services.
Where is Lower Shore Clinic, Inc. located?
Lower Shore Clinic, Inc. is located at 120 Banjo Ln, Centreville, MD 21617. The listed phone number is (410) 341-3420.
What is Lower Shore Clinic, Inc.'s specialty?
The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.
Is Lower Shore Clinic, Inc. enrolled in Medicare?
Yes. Lower Shore Clinic, Inc. is registered in the Medicare PECOS enrollment system.
When is Lower Shore Clinic, Inc.'s Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Non-DME Part B enrollment for this organization (Maryland, Clinic/Group Practice) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Lower Shore Clinic, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 15 clinicians in 4 Medicare specialties reassign their Medicare billing to Lower Shore Clinic, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Clinical Social Worker (3) and Mental Health Counselor (3). Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for Lower Shore Clinic, Inc. was last updated on September 3, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Corsica River Mental Health Services · NPI 1770716458
Community/Behavioral Health organization in Centreville, Maryland. Organization record, active in the CMS NPPES registry since August 28, 2009.
## Identity
- **NPI:** 1770716458 (Entity type: Organization)
- **Enumerated:** August 28, 2009
- **Primary specialty:** Community/Behavioral Health · taxonomy 251S00000X
- **Legal business name:** Lower Shore Clinic, Inc.
- **Organization subpart:** Yes (part of Lower Shore Clinic, Inc.)
- **Authorized official:** Tuesday Trott, ADMINISTRATOR
## Practice location
- **Address:** 120 BANJO LN, Centreville, MD 21617-1002
- **Phone:** (410) 341-3420 · **Fax:** (410) 341-3397
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Non-DME Part B, Maryland, Clinic/Group Practice) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 15 clinicians in 4 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Clinical Social Worker (3), Mental Health Counselor (3) · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 3, 2009
- **Other identifiers:** Medicaid 298470901 (MD)
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Source: [NPI Profile](https://npiprofile.com/npi/1770716458) · Data from the CMS NPPES public registry.