| Carin Venditta Lcsw-c Inc | |
|
100 E Main St Ste 402 Salisbury MD 21801-5073 | |
| (443) 614-3311 | |
| Not Available |
| Full Name | Carin Venditta Lcsw-c Inc |
|---|---|
| Speciality | Counselor |
| Location | 100 E Main St Ste 402, Salisbury, Maryland |
| Authorized Official Name and Position | Carin Venditta (OWNER) |
| Authorized Official Contact | 4436143311 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Carin Venditta Lcsw-c Inc 16 Gatehouse Trl Berlin MD 21811-2023 Ph: () - | Carin Venditta Lcsw-c Inc 100 E Main St Ste 402 Salisbury MD 21801-5073 Ph: (443) 614-3311 |
| NPI Number | 1912400664 |
|---|---|
| Provider Enumeration Date | 03/08/2018 |
| Last Update Date | 03/08/2018 |
| Medicare PECOS PAC ID | 5496001331 |
|---|---|
| Medicare Enrollment ID | O20180706000533 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1912400664 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 08692 (Maryland) | Primary |
| Provider Name | Carin Dee Venditta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417962283 PECOS PAC ID: 8527087162 Enrollment ID: I20051114000502 |
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