Ms Jene Gould, LCSW-C, CCTP | |
1401 Mercantile Ln Ste 485, Largo, MD 20774-4301 | |
(301) 615-1911 | |
Not Available |
Full Name | Ms Jene Gould |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 1401 Mercantile Ln Ste 485, Largo, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1114334893 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20126 (Maryland) | Primary |
Entity Name | New Providence Healthcare Associates Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1932592441 PECOS PAC ID: 6709178163 Enrollment ID: O20160706001195 |
Entity Name | Mending Minds Wellness Center |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1114584091 PECOS PAC ID: 6204166697 Enrollment ID: O20190927001168 |
Mailing Address | Practice Location Address |
---|---|
Ms Jene Gould, LCSW-C, CCTP 1401 Mercantile Ln Ste 485, Largo, MD 20774-4301 Ph: (301) 615-1911 | Ms Jene Gould, LCSW-C, CCTP 1401 Mercantile Ln Ste 485, Largo, MD 20774-4301 Ph: (301) 615-1911 |
Belinda E Boyer, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1400 Mercantile Ln, Suite 232, Largo, MD 20774 Phone: 301-583-0001 Fax: 301-583-3403 | |
Lisa Austin, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1330 Mccormick Dr, Largo, MD 20774 Phone: 301-773-3500 | |
Eugene Vanburch, Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9701 Apollo Dr Ste 100, Largo, MD 20774 Phone: 301-851-9965 | |
Shirelle Wright, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1400 Mercantile Ln, Suite 260, Largo, MD 20774 Phone: 202-802-0859 | |
Ms. Wanda R Scott, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1300 Mercantile Ln, Suite 139-rr, Largo, MD 20774 Phone: 301-772-5300 | |
Tykera Tolson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1300 Mercantile Ln, Largo, MD 20774 Phone: 301-583-0001 |