| Baltimore Washington Counseling Center, Llc | |
|
8258 Veterans Hwy Suite 13 Millersville MD 21108-1457 | |
| (410) 768-6088 | |
| (410) 768-6444 |
| Full Name | Baltimore Washington Counseling Center, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8258 Veterans Hwy, Millersville, Maryland |
| Authorized Official Name and Position | Christine Rykiel (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4107686088 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Baltimore Washington Counseling Center, Llc 8258 Veterans Hwy Suite 13 Millersville MD 21108-1457 Ph: (410) 768-6088 | Baltimore Washington Counseling Center, Llc 8258 Veterans Hwy Suite 13 Millersville MD 21108-1457 Ph: (410) 768-6088 |
| NPI Number | 1780066175 |
|---|---|
| Provider Enumeration Date | 06/23/2015 |
| Last Update Date | 09/18/2015 |
| Medicare PECOS PAC ID | 3779897731 |
|---|---|
| Medicare Enrollment ID | O20150804005058 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780066175 | NPI | - | NPPES |
| 413568700 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 09540 (Maryland) | Primary |
| Provider Name | Carroll Stewart Canipe |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720289028 PECOS PAC ID: 4789610064 Enrollment ID: I20050711000093 |
| Provider Name | Stephanie M Kestler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265659031 PECOS PAC ID: 3779517966 Enrollment ID: I20050927000500 |
| Provider Name | Maripat Mcguire |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720103476 PECOS PAC ID: 0840383683 Enrollment ID: I20070910000679 |
| Provider Name | Diane L Channas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568476869 PECOS PAC ID: 1052503919 Enrollment ID: I20101011000363 |
| Provider Name | Elizabeth B Krakow |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225042518 PECOS PAC ID: 8527251768 Enrollment ID: I20101020001335 |
| Provider Name | Jessica A Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629398334 PECOS PAC ID: 9739331034 Enrollment ID: I20121213000293 |
| Provider Name | Amy Marie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861737405 PECOS PAC ID: 7214180561 Enrollment ID: I20130117000051 |
| Provider Name | Kristen Mcdermott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316170855 PECOS PAC ID: 4385969047 Enrollment ID: I20150221000013 |
| Provider Name | Erin L Mannion |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841676277 PECOS PAC ID: 7517276579 Enrollment ID: I20151014002349 |
| Provider Name | Hollie Nicole Mills |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467986653 PECOS PAC ID: 1355628645 Enrollment ID: I20170516001667 |
| Provider Name | Kyle Patrick Jernigan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417465808 PECOS PAC ID: 0749533594 Enrollment ID: I20181025001240 |
| Provider Name | Rachel Mall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144779026 PECOS PAC ID: 1153659214 Enrollment ID: I20190827003525 |
| Provider Name | Modinat Oluwatoyin Fagbenro |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063061034 PECOS PAC ID: 4880017664 Enrollment ID: I20200713001852 |
| Provider Name | Brenda Rosencrantz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1215534029 PECOS PAC ID: 3274953286 Enrollment ID: I20201013001987 |
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