Sally Jornlin, | |
8504 Mapleville Rd, Boonsboro, MD 21713-1817 | |
(301) 733-9067 | |
Not Available |
Full Name | Sally Jornlin |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8504 Mapleville Rd, Boonsboro, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1851918429 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 20387 (Maryland) | Primary |
Entity Name | San Mar Children's Home |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1659739720 PECOS PAC ID: 4688951254 Enrollment ID: O20170509000559 |
Mailing Address | Practice Location Address |
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Sally Jornlin, 10212 Easterday Ct, Hagerstown, MD 21742-9775 Ph: (240) 500-0421 | Sally Jornlin, 8504 Mapleville Rd, Boonsboro, MD 21713-1817 Ph: (301) 733-9067 |
Melissa Ann Phillips, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 Fax: 301-733-4980 | |
Mary Bridget Choudhary, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 | |
Courtney Lloyd, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 | |
Jerica Washington, LCSWC Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 | |
Mrs. Angela M Sluzalis, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 210 Tiger Way, Boonsboro, MD 21713 Phone: 301-432-5202 Fax: 855-959-2453 | |
Keith Fanjoy, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8504 Mapleville Rd, Boonsboro, MD 21713 Phone: 301-733-9067 |