| Chelsea Jennings, Lcsw-c, Llc | |
|
400 S Cross St Ste 1b Chestertown MD 21620-4705 | |
| (443) 924-6297 | |
| Not Available |
| Full Name | Chelsea Jennings, Lcsw-c, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 400 S Cross St Ste 1b, Chestertown, Maryland |
| Authorized Official Name and Position | Chelsea H Jennings (OWNER) |
| Authorized Official Contact | 4434804183 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Chelsea Jennings, Lcsw-c, Llc 407 Cannon St Chestertown MD 21620-1329 Ph: (443) 480-4183 | Chelsea Jennings, Lcsw-c, Llc 400 S Cross St Ste 1b Chestertown MD 21620-4705 Ph: (443) 924-6297 |
| NPI Number | 1548873789 |
|---|---|
| Provider Enumeration Date | 08/27/2020 |
| Last Update Date | 08/27/2020 |
| Certification Date | 08/27/2020 |
| Medicare PECOS PAC ID | 9335568260 |
|---|---|
| Medicare Enrollment ID | O20200928000247 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548873789 | NPI | - | NPPES |
| 119591300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Chelsea H Jennings |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437411006 PECOS PAC ID: 4385949213 Enrollment ID: I20160301001754 |
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