Chae W Kwak, LCSW-C | |
711 W 40th St, Suite 230b, Baltimore, MD 21211-2120 | |
(410) 532-3080 | |
(410) 532-3080 |
Full Name | Chae W Kwak |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 23 Years |
Location | 711 W 40th St, Baltimore, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1174773246 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12156 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Family Ties Of Brunswick, Llc | 7911309430 | 4 |
Entity Name | Family Works Psychological Center Pllc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1063488773 PECOS PAC ID: 9335134220 Enrollment ID: O20040419001628 |
Entity Name | Family Ties Of Brunswick, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1831682665 PECOS PAC ID: 7911309430 Enrollment ID: O20210707000615 |
Mailing Address | Practice Location Address |
---|---|
Chae W Kwak, LCSW-C 711 W 40th St, Suite 230b, Baltimore, MD 21211-2120 Ph: (410) 532-3080 | Chae W Kwak, LCSW-C 711 W 40th St, Suite 230b, Baltimore, MD 21211-2120 Ph: (410) 532-3080 |
Ms. Angela Faith Noppenberger, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Girard Ave, Baltimore, MD 21211 Phone: 410-929-1596 | |
Tara Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5146 Park Heights Ave, Suite 1, Baltimore, MD 21215 Phone: 410-664-6264 | |
Jennifer Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 E North Ave Ste 5, Baltimore, MD 21202 Phone: 443-310-3042 Fax: 443-652-5904 | |
Kathryn Petrarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 Fax: 410-889-0729 | |
Michelle Antoinette Goines, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1522 N Ellamont St, Baltimore, MD 21216 Phone: 410-419-9823 | |
Melissa Franco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Mcclean Blvd, Baltimore, MD 21234 Phone: 410-444-3800 | |
Karen Burd, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4803 Yellowwood Ave, Baltimore, MD 21209 Phone: 443-613-4152 |