Ms Detra Kelly, LCSW-C | |
540 Riverside Dr Ste 8, Salisbury, MD 21801-5352 | |
(410) 548-3333 | |
(410) 548-3341 |
Full Name | Ms Detra Kelly |
---|---|
Gender | Female |
Speciality | Clinical Social Worker |
Experience | 17 Years |
Location | 540 Riverside Dr Ste 8, Salisbury, Maryland |
Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1982245049 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | 22747 (Maryland) | Primary |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
J David Collins And Associates Llc | 4688710841 | 8 |
Entity Name | J David Collins And Associates Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1013241611 PECOS PAC ID: 4688710841 Enrollment ID: O20091001000681 |
Mailing Address | Practice Location Address |
---|---|
Ms Detra Kelly, LCSW-C 540 Riverside Dr Ste 8, Salisbury, MD 21801-5352 Ph: (410) 548-3333 | Ms Detra Kelly, LCSW-C 540 Riverside Dr Ste 8, Salisbury, MD 21801-5352 Ph: (410) 548-3333 |
Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 | |
Lela Simon, Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 | |
Mrs. Nina Mary Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 | |
Katelyn Marie Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 | |
Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 | |
Michael Paul Weedon, BA Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Pkwy, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6362 | |
Barbara Joyce Ruark, Counselor Medicare: Medicare Enrolled Practice Location: 1113 Healthway Dr Apt 1c, Salisbury, MD 21804 Phone: 410-334-6961 |