| Alice Sixbey Lcsw-c Llc | |
|
20 Ridgely Ave Ste 203 Annapolis MD 21401-1400 | |
| (443) 569-5027 | |
| Not Available |
| Full Name | Alice Sixbey Lcsw-c Llc |
|---|---|
| Speciality | Social Worker |
| Location | 20 Ridgely Ave Ste 203, Annapolis, Maryland |
| Authorized Official Name and Position | Alice Atkins Sixbey (CLINICAL SOCIAL WORKER/OWNER) |
| Authorized Official Contact | 4435695027 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alice Sixbey Lcsw-c Llc 344 Thorsby Rd Annapolis MD 21405-2012 Ph: (443) 569-5027 | Alice Sixbey Lcsw-c Llc 20 Ridgely Ave Ste 203 Annapolis MD 21401-1400 Ph: (443) 569-5027 |
| NPI Number | 1811651300 |
|---|---|
| Provider Enumeration Date | 10/29/2021 |
| Last Update Date | 01/29/2024 |
| Certification Date | 01/29/2024 |
| Medicare PECOS PAC ID | 8123418407 |
|---|---|
| Medicare Enrollment ID | O20211130001733 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1811651300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Alice A Sixbey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679810659 PECOS PAC ID: 3072852516 Enrollment ID: I20190228001522 |
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