Mr Mark Alan Shaffer, LCSW-C | |
1104 Healthway Dr, Salisbury, MD 21804-4469 | |
(410) 219-5483 | |
(410) 219-5486 |
Full Name | Mr Mark Alan Shaffer |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 25 Years |
Location | 1104 Healthway Dr, Salisbury, 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 |
---|---|---|---|
1659314565 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 23436 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Three Lower Counties Community Services Inc. | 3678484300 | 73 |
Entity Name | Three Lower Counties Community Services Inc. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093 |
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 |
Entity Name | Lifemark Inc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1982040077 PECOS PAC ID: 1153635396 Enrollment ID: O20150803000165 |
Mailing Address | Practice Location Address |
---|---|
Mr Mark Alan Shaffer, LCSW-C Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Mr Mark Alan Shaffer, LCSW-C 1104 Healthway Dr, Salisbury, MD 21804-4469 Ph: (410) 219-5483 |
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 |