Ms Nicole Logan, LCSW-C | |
22 S Greene St, Baltimore, MD 21201-1544 | |
(410) 328-2360 | |
Not Available |
Full Name | Ms Nicole Logan |
---|---|
Gender | Female |
Speciality | Social Worker - Clinical |
Location | 22 S Greene St, Baltimore, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1316629363 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Entity Name | University Of Maryland Pediatric Associates, Pa |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1528163912 PECOS PAC ID: 6800888678 Enrollment ID: O20040401000195 |
Mailing Address | Practice Location Address |
---|---|
Ms Nicole Logan, LCSW-C 10340 Swift Stream Pl Apt 310, Columbia, MD 21044-4876 Ph: () - | Ms Nicole Logan, LCSW-C 22 S Greene St, Baltimore, MD 21201-1544 Ph: (410) 328-2360 |
Ms. Angela Faith Noppenberger, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2000 Girard Ave, Baltimore, MD 21211 Phone: 410-929-1596 | |
Tara Rice, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 5146 Park Heights Ave, Suite 1, Baltimore, MD 21215 Phone: 410-664-6264 | |
Jennifer Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10 E North Ave Ste 5, Baltimore, MD 21202 Phone: 443-310-3042 Fax: 443-652-5904 | |
Kathryn Petrarca, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 416 E 30th St, Baltimore, MD 21218 Phone: 410-889-0727 Fax: 410-889-0729 | |
Michelle Antoinette Goines, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 1522 N Ellamont St, Baltimore, MD 21216 Phone: 410-419-9823 | |
Melissa Franco, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6802 Mcclean Blvd, Baltimore, MD 21234 Phone: 410-444-3800 | |
Karen Burd, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4803 Yellowwood Ave, Baltimore, MD 21209 Phone: 443-613-4152 |