Jason Harry Sammons, LCSW-C | |
23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 | |
(410) 742-7400 | |
(410) 742-6452 |
Full Name | Jason Harry Sammons |
---|---|
Gender | Male |
Speciality | Social Worker - Clinical |
Location | 23704 Ocean Gtwy, Mardela Springs, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1396023248 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16713 (Maryland) | Primary |
Entity Name | Evolve Mental Wellness |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909 |
Mailing Address | Practice Location Address |
---|---|
Jason Harry Sammons, LCSW-C 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 Ph: (410) 742-7400 | Jason Harry Sammons, LCSW-C 23704 Ocean Gtwy, Mardela Springs, MD 21837-2101 Ph: (410) 742-7400 |
Samantha Gail Daneman, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-742-7400 | |
Miss Julie Johnson, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-742-7400 Fax: 410-742-6452 | |
Angela L Ford, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-677-0202 | |
Mrs. Blair Catlin Brown, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-422-2545 Fax: 410-677-0303 | |
Miss Tonya O'hara, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23704 Ocean Gtwy, Mardela Springs, MD 21837 Phone: 410-742-7400 Fax: 410-742-6452 |