| Arundel Lodge, Inc. | |
|
839 Bestgate Rd Annapolis MD 21401-3472 | |
| (443) 433-5900 | |
| (410) 841-6045 |
| Full Name | Arundel Lodge, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 839 Bestgate Rd, Annapolis, Maryland |
| Authorized Official Name and Position | Kerry Lowry (BILLING SUPERVISOR) |
| Authorized Official Contact | 4434335929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arundel Lodge, Inc. 2600 Solomons Island Rd Edgewater MD 21037-1102 Ph: (443) 433-5900 | Arundel Lodge, Inc. 839 Bestgate Rd Annapolis MD 21401-3472 Ph: (443) 433-5900 |
| NPI Number | 1225213507 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 01/27/2015 |
| Medicare PECOS PAC ID | 8123197050 |
|---|---|
| Medicare Enrollment ID | O20080519000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225213507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Enrique Olivares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053309674 PECOS PAC ID: 2769460856 Enrollment ID: I20040713001682 |
| Provider Name | Marjorie A Deck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336242742 PECOS PAC ID: 5799786182 Enrollment ID: I20070129000119 |
| Provider Name | Paul A. Gianakon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578698486 PECOS PAC ID: 4183784887 Enrollment ID: I20081126000228 |
| Provider Name | Robert Allen-emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659688141 PECOS PAC ID: 9830368752 Enrollment ID: I20110811000062 |
| Provider Name | Maureen C Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437304326 PECOS PAC ID: 4183786411 Enrollment ID: I20130820000186 |
| Provider Name | Lateshia Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840262 PECOS PAC ID: 5799916011 Enrollment ID: I20140328001405 |
| Provider Name | Lauren Cashion |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1295059145 PECOS PAC ID: 8022317734 Enrollment ID: I20161012000050 |
| Provider Name | Ana Maria A Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366899783 PECOS PAC ID: 5395002984 Enrollment ID: I20171207000765 |
| Provider Name | Francisca Nkem Okwukogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962055723 PECOS PAC ID: 3173955606 Enrollment ID: I20191121000317 |
| Provider Name | Alexandra M Lyons |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992287940 PECOS PAC ID: 9032548748 Enrollment ID: I20200401000500 |
| Provider Name | Samantha B Jefferson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033750773 PECOS PAC ID: 8426487174 Enrollment ID: I20200401002436 |
| Provider Name | Esther Chikwe-onyejekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084644 PECOS PAC ID: 7416386883 Enrollment ID: I20200406002466 |
| Provider Name | Chelsea Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841837440 PECOS PAC ID: 9032525795 Enrollment ID: I20210304002010 |
| Provider Name | Amber M Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144870775 PECOS PAC ID: 5294128765 Enrollment ID: I20220204000527 |
| Provider Name | Julie A Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548936917 PECOS PAC ID: 5597113373 Enrollment ID: I20231205001344 |
| Provider Name | Candace Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457061525 PECOS PAC ID: 9436508868 Enrollment ID: I20231212000117 |
| Provider Name | Melanie Joyce Coates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598220147 PECOS PAC ID: 7214371376 Enrollment ID: I20240216000095 |
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