Shiretta Warren, | |
2142 Priest Bridge Ct Ste 1, Crofton, MD 21114-2545 | |
(410) 721-2835 | |
(410) 721-5523 |
Full Name | Shiretta Warren |
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Gender | Female |
Speciality | Social Worker - Clinical |
Location | 2142 Priest Bridge Ct Ste 1, Crofton, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1407209968 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 12965 (Maryland) | Primary |
Entity Name | Qci Behavioral Health Consulting Group, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154598308 PECOS PAC ID: 3971665969 Enrollment ID: O20090218000080 |
Mailing Address | Practice Location Address |
---|---|
Shiretta Warren, 3950 Prickly St, Waldorf, MD 20603-5731 Ph: (240) 565-5885 | Shiretta Warren, 2142 Priest Bridge Ct Ste 1, Crofton, MD 21114-2545 Ph: (410) 721-2835 |
Mrs. Helen Bianca, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2134 Espey Ct, Suite 3, Crofton, MD 21114 Phone: 301-261-6966 Fax: 301-261-0963 | |
Colleen Blackston, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1664b Village Grn, Crofton, MD 21114 Phone: 240-383-5294 | |
Brooke Harris, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2302 Kezey Ct, Crofton, MD 21114 Phone: 240-718-4880 | |
Olubunmi Akinkuowo, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2142 Priest Bridge Ct Ste 1, Crofton, MD 21114 Phone: 410-721-2835 Fax: 410-721-5523 | |
Ms. Barbara Galuska, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 2110 Priest Bridge Dr Ste 4, Crofton, MD 21114 Phone: 301-953-0962 Fax: 301-953-0962 | |
Dr. Marian Dohoney Kaufman, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 2134 Espey Ct, Suite 3, Crofton, MD 21114 Phone: 301-261-6966 Fax: 301-261-0963 | |
Doncella Frances Hampton, LICSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1630 Grason Ln, Crofton, MD 21114 Phone: 301-706-7878 |