Dr Carol Ivy Simmons, PHD, LCSW-C | |
7103 A Antock Place, Upper Marlboro, MD 20772 | |
(240) 350-6377 | |
Not Available |
Full Name | Dr Carol Ivy Simmons |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 7103 A Antock Place, Upper Marlboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1659340057 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10896 (Maryland) | Primary |
Entity Name | Safe Harbor Behavioral Care Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316487879 PECOS PAC ID: 0345514675 Enrollment ID: O20170925002242 |
Mailing Address | Practice Location Address |
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Dr Carol Ivy Simmons, PHD, LCSW-C P.o. Box 1337, Gallup, NM 87305-1337 Ph: (505) 722-1000 | Dr Carol Ivy Simmons, PHD, LCSW-C 7103 A Antock Place, Upper Marlboro, MD 20772 Ph: (240) 350-6377 |
Ms. Safi Khadija Lynch, L.C.S.W.-CLINICAL Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9701 Apollo Dr, Suite 391, Upper Marlboro, MD 20774 Phone: 301-583-1181 | |
Sonia Reeves Harvey, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8405 Berwick Rd, Upper Marlboro, MD 20772 Phone: 301-806-1552 | |
Kristen Danielle Brooks, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1401 Mercantile Ln Ste 433, Upper Marlboro, MD 20774 Phone: 240-681-9721 Fax: 240-825-1424 | |
Jeanine Michelle Wilson, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4809 Colonel Brooke Ct, Upper Marlboro, MD 20772 Phone: 410-507-8183 Fax: 301-780-3271 | |
Therese Harrigan, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 14735 Main St, Upper Marlboro, MD 20772 Phone: 301-985-5960 Fax: 301-699-2886 | |
Mrs. Kimberly Lynn Walker, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9507 Vermell Pl, Upper Marlboro, MD 20774 Phone: 443-306-5678 | |
Netelege Richards, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln Ste 100s, Upper Marlboro, MD 20774 Phone: 301-246-2011 |