Justin Scott Proctor, LCSW-C | |
53 Avalon Ave, Dundalk, MD 21222-4847 | |
(443) 208-4326 | |
Not Available |
Full Name | Justin Scott Proctor |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 21 Years |
Location | 53 Avalon Ave, Dundalk, 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 |
---|---|---|---|
1154614683 | NPI | - | NPPES |
16918 | Other | MD | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 16918 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Post Acute Physician Partners Llc | 8224353891 | 39 |
Entity Name | Post Acute Physician Partners Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710385554 PECOS PAC ID: 8224353891 Enrollment ID: O20150203001077 |
Entity Name | Windrush Behavioral Health Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1124404421 PECOS PAC ID: 5890002224 Enrollment ID: O20150917002164 |
Mailing Address | Practice Location Address |
---|---|
Justin Scott Proctor, LCSW-C 53 Avalon Ave, Dundalk, MD 21222-4847 Ph: (443) 208-4326 | Justin Scott Proctor, LCSW-C 53 Avalon Ave, Dundalk, MD 21222-4847 Ph: (443) 208-4326 |
Falisha Marie Jankiewicz-redenbaugh, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 2205 Searles Rd, Dundalk, MD 21222 Phone: 410-404-7713 | |
Rebekah Bon, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3680 | |
Ms. Betsy Jean Ruth, LCSW-C Clinical Social Worker Medicare: May Accept Medicare Assignments Practice Location: 7702 Dunmanway, Dundalk, MD 21222 Phone: 410-282-1792 Fax: 410-282-3195 | |
Miss Chayla Fleming, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 23 Shipping Pl, Dundalk, MD 21222 Phone: 410-282-5401 | |
Andrew Mcrae, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3655 | |
Darlene Waldt, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8133 Bullneck Rd, Dundalk, MD 21222 Phone: 443-799-1009 |