Sean Butler, | |
1519 Market St, Pocomoke City, MD 21851-1711 | |
(757) 891-5871 | |
Not Available |
Full Name | Sean Butler |
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Gender | Male |
Speciality | Clinical Social Worker |
Experience | 8 Years |
Location | 1519 Market St, Pocomoke City, 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 |
---|---|---|---|
1770039273 | NPI | - | NPPES |
614064500 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 22509 (Maryland) | Secondary |
1041C0700X | Social Worker - Clinical | 0904011521 (Virginia) | Primary |
Entity Name | Blue Wave Counseling & Psychotherapy Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1891391587 PECOS PAC ID: 4385058890 Enrollment ID: O20210125001181 |
Mailing Address | Practice Location Address |
---|---|
Sean Butler, 4098 Main St Ste 9, Chincoteague, VA 23336-2466 Ph: (757) 891-5871 | Sean Butler, 1519 Market St, Pocomoke City, MD 21851-1711 Ph: (757) 891-5871 |
Mrs. Monica Surran Christopher, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Ms. Amanda Kristen Cullen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Mrs. Shelonda Latisha Townsend, LCSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 601 Homewood Dr, Pocomoke City, MD 21851 Phone: 144-361-4244 | |
Ms. Tammy Lou Jones, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 305 10th St Ste 104, Pocomoke City, MD 21851 Phone: 410-957-0273 Fax: 410-957-0152 | |
Mrs. Pamala Dawn Thompsen, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2116 Wildwood Trl Ste 8, Pocomoke City, MD 21851 Phone: 410-251-4073 | |
Rebecca Hall, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 305 10th St, Pocomoke City, MD 21851 Phone: 410-957-1852 |