Theodore Michener, LCSW-C | |
903 Brightseat Rd, Landover, MD 20785-4725 | |
(301) 333-2980 | |
Not Available |
Full Name | Theodore Michener |
---|---|
Gender | Male |
Speciality | Clinical Social Worker |
Experience | 18 Years |
Location | 903 Brightseat Rd, Landover, Maryland |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1144886011 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 19774 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Carroll Counseling Center, Llc | 8123919461 | 17 |
Entity Name | Carroll Counseling Center, Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1710999784 PECOS PAC ID: 8123919461 Enrollment ID: O20040324000653 |
Entity Name | Optum Behavioral Care Of North Carolina, P.c. |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1518732833 PECOS PAC ID: 5092120030 Enrollment ID: O20240426003512 |
Mailing Address | Practice Location Address |
---|---|
Theodore Michener, LCSW-C 15518 N Nemo Ct, Bowie, MD 20716-1460 Ph: (443) 370-9626 | Theodore Michener, LCSW-C 903 Brightseat Rd, Landover, MD 20785-4725 Ph: (301) 333-2980 |
Kamika Pope, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1103 Consideration Ln, Landover, MD 20785 Phone: 443-414-4619 | |
Eboni Henry, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 411 Warfield Dr, Apt 3008, Landover, MD 20785 Phone: 706-340-6521 | |
Mrs. Mary Gerald Jacquet, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8240 Professional Place, Suite 200 Suite 200, Landover, MD 20785 Phone: 301-577-4440 Fax: 301-577-4123 | |
Anita Lewis, LCSWC Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8181 Professional Pl Ste 200, Landover, MD 20785 Phone: 301-306-4590 Fax: 301-880-0054 | |
Pauline Boldin, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 8100 Professional Pl Ste 200, Landover, MD 20785 Phone: 301-577-4470 | |
Marissa Frumento, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6501 Columbia Park Rd, Landover, MD 20785 Phone: 301-925-1360 |