| Ascension Counseling Services, Llc | |
|
903 Edmondson Ave Catonsville MD 21228-4408 | |
| (410) 455-0098 | |
| (410) 455-9804 |
| Full Name | Ascension Counseling Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 903 Edmondson Ave, Catonsville, Maryland |
| Authorized Official Name and Position | Annette Diane Levesque-nieman (CLINICAL DIRECTOR) |
| Authorized Official Contact | 4104550098 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ascension Counseling Services, Llc 903 Edmondson Ave Catonsville MD 21228-4408 Ph: (410) 455-0098 | Ascension Counseling Services, Llc 903 Edmondson Ave Catonsville MD 21228-4408 Ph: (410) 455-0098 |
| NPI Number | 1750717286 |
|---|---|
| Provider Enumeration Date | 09/16/2013 |
| Last Update Date | 09/16/2013 |
| Medicare PECOS PAC ID | 8022248087 |
|---|---|
| Medicare Enrollment ID | O20140313001023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750717286 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC4640 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | 12165 (Maryland) | Primary |
| Provider Name | Annette D Levesque-nieman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184795478 PECOS PAC ID: 2668463670 Enrollment ID: I20040519000929 |
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