Kathey Jean Larger, LCSWC, LCPC | |
1113 Healthway Dr, Salisbury, MD 21804-4470 | |
(410) 334-6961 | |
(410) 334-6362 |
Full Name | Kathey Jean Larger |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1113 Healthway Dr, Salisbury, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1558376400 | NPI | - | NPPES |
346646 | Other | MD | MANAGED HEALTH NETWORK |
609550001 | Medicaid | MD | |
609550004 | Medicaid | MD | |
517251 | Other | MD | UNITED BEHAVIORAL HEALTH |
499188 | Other | MD | VO-MHA |
LM49EA | Other | MD | CAREFIRST BCBS |
522156095 | Other | MD | TRICARE |
609550002 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12992 (Maryland) | Primary |
Entity Name | Eastern Shore Psychological Services Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1881781508 PECOS PAC ID: 5294729950 Enrollment ID: O20040414000564 |
Mailing Address | Practice Location Address |
---|---|
Kathey Jean Larger, LCSWC, LCPC 547 Riverside Dr, Ste A, Salisbury, MD 21801-5369 Ph: (410) 334-6961 | Kathey Jean Larger, LCSWC, LCPC 1113 Healthway Dr, Salisbury, MD 21804-4470 Ph: (410) 334-6961 |
Mr. Mark Stephen Simulis, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1104 Healthway Dr, Salisbury, MD 21804 Phone: 410-219-5483 Fax: 410-219-5486 | |
Connie G Polovina, LCSW- C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 270 Tilghman Rd, Salisbury, MD 21804 Phone: 410-845-1645 | |
Farah Vangenderen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31413 Winterplace Pkwy Ste 102, Salisbury, MD 21804 Phone: 410-742-3055 Fax: 443-944-0095 | |
Jeffrey J Byrne, Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1003 Bayshore Ct, Salisbury, MD 21804 Phone: 443-614-8777 | |
Penny Sue Walters, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26916 Siloam Rd, Salisbury, MD 21801 Phone: 410-603-2807 | |
Mrs. Kirsten Allen Culler, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 111 W Main St, Suite E, Salisbury, MD 21801 Phone: 443-736-4114 Fax: 443-736-7982 | |
Ms. Sharon Lynn Janssen, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 560 Riverside Dr Ste A204, Salisbury, MD 21801 Phone: 443-358-6193 Fax: 443-358-6197 |