Ms Kimberly D'imperio Valentine, LCPC | |
9958 N Main St, Berlin, MD 21811-1077 | |
(410) 973-2820 | |
(410) 973-2843 |
Full Name | Ms Kimberly D'imperio Valentine |
---|---|
Gender | Female |
Speciality | Counselor - Professional |
Location | 9958 N Main St, Berlin, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1508243353 | NPI | - | NPPES |
119591300 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC5586 (Maryland) | Primary |
Entity Name | Three Lower Counties Community Services Inc. |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1154354744 PECOS PAC ID: 3678484300 Enrollment ID: O20040324000093 |
Mailing Address | Practice Location Address |
---|---|
Ms Kimberly D'imperio Valentine, LCPC Po Box 1978, Salisbury, MD 21802-1978 Ph: (410) 749-1015 | Ms Kimberly D'imperio Valentine, LCPC 9958 N Main St, Berlin, MD 21811-1077 Ph: (410) 973-2820 |
Alysha B Warren, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 10031 Old Ocean City Blvd Ste 106, Berlin, MD 21811 Phone: 410-641-3121 | |
Tracy Ann Bednar, LGPC Counselor Medicare: Medicare Enrolled Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Michal A. Waltermyer, BS Counselor Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Drive, Worcester County Health Department - Berlin Health Ct., Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Esther Birch Widra, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 | |
Tracey Davis Gladmon, LCSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 Fax: 410-641-4696 | |
Jaime Smith, Counselor Medicare: Accepting Medicare Assignments Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Lori Carson, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-641-4598 |