Lisa Travis, | |
28 Dental Rd, Edgewater, MD 21037-2685 | |
(434) 426-6528 | |
Not Available |
Full Name | Lisa Travis |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 28 Dental Rd, Edgewater, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013456714 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 21300 (Maryland) | Primary |
Entity Name | Luminis Health Medical Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1073580205 PECOS PAC ID: 2860447315 Enrollment ID: O20050317000146 |
Mailing Address | Practice Location Address |
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Lisa Travis, 28 Dental Rd, Edgewater, MD 21037-2685 Ph: (434) 426-6528 | Lisa Travis, 28 Dental Rd, Edgewater, MD 21037-2685 Ph: (434) 426-6528 |
Lindsay Feroli, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 3509 Pine Dr, Edgewater, MD 21037 Phone: 443-223-0325 | |
Joanne Hockman, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 137 Mitchells Chance Rd, 260, Edgewater, MD 21037 Phone: 410-286-0664 Fax: 410-286-2834 | |
Taylor Christine Adams, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 | |
Amber Long, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 Fax: 410-841-6045 | |
Dr. Claudia Frances Mackie, PH.D. MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8 Carvel Cir, Cornerstone Counseling Center, Edgewater, MD 21037 Phone: 410-266-1153 Fax: 410-266-9740 | |
Cynthia L Garmoe, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 |