Dominique Mann, LCSW-C | |
2768 Sand Lens Drive, Odenton, MD 21113 | |
(301) 906-0140 | |
Not Available |
Full Name | Dominique Mann |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2768 Sand Lens Drive, Odenton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1184377954 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23791 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
Mailing Address | Practice Location Address |
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Dominique Mann, LCSW-C 2768 Sand Lens Drive, Odenton, MD 21113 Ph: () - | Dominique Mann, LCSW-C 2768 Sand Lens Drive, Odenton, MD 21113 Ph: (301) 906-0140 |
Mariah Marbury, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1531 Brakeman Ct, Odenton, MD 21113 Phone: 228-383-8993 | |
Mrs. Catherine S. Weber, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1223 Annapolis Rd, Ste A, Odenton, MD 21113 Phone: 410-672-3921 Fax: 410-672-3921 | |
Josephine C. Carandang-garcia, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8288 Telegraph Rd, Suite A, Odenton, MD 21113 Phone: 443-538-4114 | |
Roslyn Zinner, LCSW C MSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8288 Telegraph Rd, Suite A, Odenton, MD 21113 Phone: 410-672-2237 Fax: 410-695-6038 | |
Ms. Aimee Kathleen Olivera Sanchez, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2150 Colonel Way, Odenton, MD 21113 Phone: 910-988-5760 | |
Mr. Michael Howard Rosen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 704 Rock Elm Ct, Odenton, MD 21113 Phone: 443-504-5545 |