All By The Grace | |
6253 Kenwood Ave Baltimore MD 21237-2020 | |
(410) 824-1908 | |
Not Available |
Full Name | All By The Grace |
---|---|
Speciality | Social Worker |
Location | 6253 Kenwood Ave, Baltimore, Maryland |
Authorized Official Name and Position | Colette Walker-thomas (LCSW/OWNER) |
Authorized Official Contact | 8002947001 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
All By The Grace 6253 Kenwood Ave Baltimore MD 21237-2020 Ph: () - | All By The Grace 6253 Kenwood Ave Baltimore MD 21237-2020 Ph: (410) 824-1908 |
NPI Number | 1346708195 |
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Provider Enumeration Date | 03/11/2019 |
Last Update Date | 06/15/2021 |
Certification Date | 06/15/2021 |
Medicare PECOS PAC ID | 8628319837 |
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Medicare Enrollment ID | O20190416000377 |
Identifier | Type | State | Issuer |
---|---|---|---|
1346708195 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Sarah Fraim |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1184096430 PECOS PAC ID: 2668737875 Enrollment ID: I20180517000902 |
Provider Name | Colette Walker-thomas |
---|---|
Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1710258025 PECOS PAC ID: 3072854256 Enrollment ID: I20190417002719 |
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