Amy L Kopel, Llc | |
1107 Kenilworth Dr Suite 208 Towson MD 21204-2140 | |
(410) 878-7490 | |
(410) 878-7433 |
Full Name | Amy L Kopel, Llc |
---|---|
Speciality | Social Worker |
Location | 1107 Kenilworth Dr, Towson, Maryland |
Authorized Official Name and Position | Amy L Kopel (PRACTIONER) |
Authorized Official Contact | 4436763092 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Amy L Kopel, Llc 311 Worthington Rd Towson MD 21286-7814 Ph: (443) 676-3092 | Amy L Kopel, Llc 1107 Kenilworth Dr Suite 208 Towson MD 21204-2140 Ph: (410) 878-7490 |
NPI Number | 1851428163 |
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Provider Enumeration Date | 02/27/2007 |
Last Update Date | 09/03/2008 |
Medicare PECOS PAC ID | 6305818915 |
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Medicare Enrollment ID | O20040812000553 |
Identifier | Type | State | Issuer |
---|---|---|---|
1851428163 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 09244 (Maryland) | Primary |
Provider Name | Amy L Kopel |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1831196625 PECOS PAC ID: 7315927910 Enrollment ID: I20040723000528 |
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