Edgina Porter, LICSW, LCSW-C | |
10206 Aerospace Rd, Lanham, MD 20706 | |
(301) 760-8615 | |
Not Available |
Full Name | Edgina Porter |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 10206 Aerospace Rd, Lanham, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851840292 | NPI | - | NPPES |
927628 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | LC50080928 (District Of Columbia) | Primary |
Entity Name | Cmh Physician Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194760645 PECOS PAC ID: 3779551445 Enrollment ID: O20040921000171 |
Mailing Address | Practice Location Address |
---|---|
Edgina Porter, LICSW, LCSW-C 20000 Sweetgum Cir Apt 12, Germantown, MD 20874-3756 Ph: (301) 760-8615 | Edgina Porter, LICSW, LCSW-C 10206 Aerospace Rd, Lanham, MD 20706 Ph: (301) 760-8615 |
Antionette Parks, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd, Suite # 217, Lanham, MD 20706 Phone: 240-505-3149 | |
Ms. Deitra E. Bryant-mallory, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10001 Derekwood Ln Ste 120, Lanham, MD 20706 Phone: 301-306-4590 | |
Laurel Blanco, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd, Ste 309, Lanham, MD 20706 Phone: 301-710-9400 | |
Amy Holden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7901 Annapolis Rd, Lanham, MD 20706 Phone: 240-906-4573 Fax: 301-560-8505 | |
Stephanie Jaime-luna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Forbes Blvd Ste 200, Lanham, MD 20706 Phone: 410-469-8684 | |
Ms. Aimee Elizabeth Williams, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10123 Senate Dr, Lanham, MD 20706 Phone: 301-459-9840 | |
Valerie Robinson, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9701 Philadelphia Ct, Ste R, Lanham, MD 20706 Phone: 443-759-5902 |