| Center For Resilience And Connection | |
|
9111 Edmonston Rd Suite 303 Greenbelt MD 20770-1507 | |
| (443) 540-2875 | |
| Not Available |
| Full Name | Center For Resilience And Connection |
|---|---|
| Speciality | Social Worker |
| Location | 9111 Edmonston Rd, Greenbelt, Maryland |
| Authorized Official Name and Position | Susan Ashley Taylor (THERAPIST/CONSULTANT) |
| Authorized Official Contact | 4435402875 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center For Resilience And Connection 22h Hillside Rd Unit H Greenbelt MD 20770-7995 Ph: (443) 540-2875 | Center For Resilience And Connection 9111 Edmonston Rd Suite 303 Greenbelt MD 20770-1507 Ph: (443) 540-2875 |
| NPI Number | 1245733047 |
|---|---|
| Provider Enumeration Date | 03/18/2018 |
| Last Update Date | 03/03/2024 |
| Certification Date | 03/03/2024 |
| Medicare PECOS PAC ID | 5294077442 |
|---|---|
| Medicare Enrollment ID | O20190508002253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245733047 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Susan A Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598177594 PECOS PAC ID: 0446592695 Enrollment ID: I20190508002425 |
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