David Engwall, | |
2117 Maryland Ave, Baltimore, MD 21218-5614 | |
(410) 837-4292 | |
Not Available |
Full Name | David Engwall |
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Gender | Male |
Speciality | Counselor - Professional |
Location | 2117 Maryland Ave, 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 |
---|---|---|---|
1982927117 | NPI | - | NPPES |
258712200 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
101YP2500X | Counselor - Professional | LC5383 (Maryland) | Primary |
Entity Name | Thrive Counseling Llc |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1215181300 PECOS PAC ID: 0749458420 Enrollment ID: O20200924001878 |
Mailing Address | Practice Location Address |
---|---|
David Engwall, 1504 Dorchester Ave, Gwynn Oak, MD 21207-5021 Ph: (443) 509-3636 | David Engwall, 2117 Maryland Ave, Baltimore, MD 21218-5614 Ph: (410) 837-4292 |
Mrs. Janet Louise Hughes, LCSW-C Counselor Medicare: Medicare Enrolled Practice Location: 1501 S. Clinton St, Mailstop Ct 05-13, Baltimore, MD 21224 Phone: 443-904-1468 | |
Nadine Castro, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2225 N Charles St, Baltimore, MD 21218 Phone: 410-366-4360 Fax: 443-830-1521 | |
Jinaki Olatunji, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2215 N Charles St, Baltimore, MD 21218 Phone: 443-573-8673 | |
Rachel Sheffel, Counselor Medicare: Not Enrolled in Medicare Practice Location: 3400 Chestnut Ave Fl 2, Baltimore, MD 21211 Phone: 703-371-8581 | |
Tasha Nate Allen, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1 E Chase St Ste 1128, Baltimore, MD 21202 Phone: 443-355-3992 | |
Nicholas A Etheridge, LCPC, NCC Counselor Medicare: Not Enrolled in Medicare Practice Location: 5500 Harford Rd Ste 201, Baltimore, MD 21214 Phone: 667-706-9091 | |
David Christy, LGCP Counselor Medicare: Not Enrolled in Medicare Practice Location: 1734 Maryland Ave Ste 200, Baltimore, MD 21201 Phone: 877-674-2843 |