Shanan Spencer, LCPC | |
150 Park Ave, Frostburg, MD 21532-2218 | |
(301) 689-5034 | |
(301) 689-5036 |
Full Name | Shanan Spencer |
---|---|
Gender | Female |
Speciality | Counselor - Mental Health |
Location | 150 Park Ave, Frostburg, Maryland |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1760648836 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | LC2763 (Maryland) | Secondary |
101YM0800X | Counselor - Mental Health | 86645 (Texas) | Primary |
Entity Name | Texas Health Virtual Care |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1942951199 PECOS PAC ID: 5991176356 Enrollment ID: O20230121000123 |
Mailing Address | Practice Location Address |
---|---|
Shanan Spencer, LCPC 1180 Professional Ct, Hagerstown, MD 21740-5852 Ph: (301) 791-3045 | Shanan Spencer, LCPC 150 Park Ave, Frostburg, MD 21532-2218 Ph: (301) 689-5034 |
Mr. Jonathan Klopfer, NCC, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 103 W Main St, Frostburg, MD 21532 Phone: 301-710-7754 | |
Darren Christopher Wiley, MA, LPC, LCPC Counselor Medicare: Medicare Enrolled Practice Location: 834 Pocahontas Rd, Frostburg, MD 21532 Phone: 304-359-0493 | |
Ms. Margaret Jane Downey, MS LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 332 Braddock St, Apt. 420, Frostburg, MD 21532 Phone: 909-225-0032 |