Beronica Bonilla, LCSW-C | |
604 Solarex Ct Unit 201, Frederick, MD 21703-8655 | |
(301) 663-8263 | |
(301) 682-5326 |
Full Name | Beronica Bonilla |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 604 Solarex Ct Unit 201, Frederick, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1255695110 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 18092 (Maryland) | Primary |
Entity Name | Mosaic Community Services, Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1134279284 PECOS PAC ID: 0941289417 Enrollment ID: O20040717000385 |
Mailing Address | Practice Location Address |
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Beronica Bonilla, LCSW-C 6501 North Charles St., Credentialing-carla Cash, Towson, MD 21204-6819 Ph: (443) 761-5294 | Beronica Bonilla, LCSW-C 604 Solarex Ct Unit 201, Frederick, MD 21703-8655 Ph: (301) 663-8263 |
Ms. Paula Grace, LCSW C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7190 Crestwood Blvd, Kaiser Permanente Frederick Medical Center, Frederick, MD 21703 Phone: 240-529-1700 | |
John Paul Mulhern, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 309 E Patrick St, Frederick, MD 21701 Phone: 301-631-1304 Fax: 301-631-1384 | |
Jacqueline Mitchell, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6069 Flagstone Ct, Frederick, MD 21701 Phone: 240-397-4356 | |
Dr. Michael W. Stern, PH.D. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 170 Thomas Johnson Dr, Ste 200, Frederick, MD 21702 Phone: 301-695-8390 Fax: 301-694-7906 | |
Mrs. Meredith Andrews Mcadam, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 905 W 7th St, Pmb 293, Frederick, MD 21701 Phone: 240-575-1810 Fax: 301-591-4114 | |
Siehda Sutton Parker, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 5301 Buckeystown Pike Ste 320, Frederick, MD 21704 Phone: 540-322-5424 Fax: 617-807-0958 | |
Ms. Sandra L Lake, L.C.S.W.-C. Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 350 Montevue Ln, Frederick, MD 21702 Phone: 301-600-1755 Fax: 301-600-3214 |