Shana Rene Mizzer, LCSW-C | |
8915 Shady Grove Court, Derwood, MD 20855 | |
(240) 643-1833 | |
Not Available |
Full Name | Shana Rene Mizzer |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 8915 Shady Grove Court, Derwood, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1437320413 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 13369 (Maryland) | Primary |
Entity Name | Cornerstone Montgomery Inc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1194725739 PECOS PAC ID: 3971591751 Enrollment ID: O20040501000320 |
Mailing Address | Practice Location Address |
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Shana Rene Mizzer, LCSW-C 20533 Amethyst Ln, Germantown, MD 20874-1094 Ph: (240) 643-1833 | Shana Rene Mizzer, LCSW-C 8915 Shady Grove Court, Derwood, MD 20855 Ph: (240) 643-1833 |
Sally R Benjamin, L.C.S.W.-C. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17617 Wheat Fall Dr, Derwood, MD 20855 Phone: 301-330-4798 Fax: 301-330-4798 | |
Nina Lynn Zuriff, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 15701 Crabbs Branch Way, Derwood, MD 20855 Phone: 301-251-8965 | |
Valeria S Castrillo, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7300 Calhoun Pl, Ste 500b, Derwood, MD 20855 Phone: 240-777-4460 | |
Sara J Walker, LSCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 17028 Flatwood Dr, Derwood, MD 20855 Phone: 240-751-3725 | |
Stephanie Sicard, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7520 Standish Pl Ste 190, Derwood, MD 20855 Phone: 301-525-2029 | |
Sharilyn Rae Smoot, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 17940 Bowie Mill Rd, Derwood, MD 20855 Phone: 240-778-3122 Fax: 240-778-3122 |