| Baiden & Associates Llc | |
|
12530 Fairwood Pkwy Ste 102 #317 Bowie MD 20720-2072 | |
| (301) 244-9126 | |
| Not Available |
| Full Name | Baiden & Associates Llc |
|---|---|
| Speciality | Social Worker |
| Location | 12530 Fairwood Pkwy Ste 102 #317, Bowie, Maryland |
| Authorized Official Name and Position | Jonathan Baiden (PRESIDENT/ OWNER) |
| Authorized Official Contact | 3012449126 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baiden & Associates Llc 12530 Fairwood Pkwy Ste 102 #317 Bowie MD 20720-5756 Ph: (301) 244-9126 | Baiden & Associates Llc 12530 Fairwood Pkwy Ste 102 #317 Bowie MD 20720-2072 Ph: (301) 244-9126 |
| NPI Number | 1881169498 |
|---|---|
| Provider Enumeration Date | 10/10/2018 |
| Last Update Date | 11/24/2022 |
| Certification Date | 11/24/2022 |
| Medicare PECOS PAC ID | 0446645717 |
|---|---|
| Medicare Enrollment ID | O20220323001915 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1881169498 | NPI | - | NPPES |
| 1538644240 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 104100000X | Social Worker | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Secondary |
| Provider Name | Jonathan Baiden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538644240 PECOS PAC ID: 2264827534 Enrollment ID: I20220323001989 |
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