Kristina A Degaetano, LCSW | |
2734 Oak Ridge Dr, Chesapeake Beach, MD 20732 | |
(312) 371-5514 | |
Not Available |
Full Name | Kristina A Degaetano |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2734 Oak Ridge Dr, Chesapeake Beach, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1285389080 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21343 (Maryland) | Primary |
Entity Name | Sondermind Provider Network Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1760854442 PECOS PAC ID: 9537572490 Enrollment ID: O20210908001372 |
Entity Name | Live Life Now Health Group Pa |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1770111429 PECOS PAC ID: 9537581897 Enrollment ID: O20211220002257 |
Mailing Address | Practice Location Address |
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Kristina A Degaetano, LCSW 2734 Oak Ridge Dr, Chesapeake Beach, MD 20732-4628 Ph: (312) 371-5514 | Kristina A Degaetano, LCSW 2734 Oak Ridge Dr, Chesapeake Beach, MD 20732 Ph: (312) 371-5514 |
Victoria Ann Steele, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7616 I St, Chesapeake Beach, MD 20732 Phone: 202-804-8238 | |
Mrs. Katherine Wills Beach, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4584 Christiana Parran Rd, Chesapeake Beach, MD 20732 Phone: 240-429-8354 |