| Closeknit | |
|
1501 S Clinton St Baltimore MD 21224-5730 | |
| (410) 528-7109 | |
| Not Available |
| Full Name | Closeknit |
|---|---|
| Speciality | Family Medicine |
| Location | 1501 S Clinton St, Baltimore, Maryland |
| Authorized Official Name and Position | Mary Jane Favazza (CEO) |
| Authorized Official Contact | 4105287109 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Closeknit 1501 S Clinton St Baltimore MD 21224-5730 Ph: () - | Closeknit 1501 S Clinton St Baltimore MD 21224-5730 Ph: (410) 528-7109 |
| NPI Number | 1548839012 |
|---|---|
| Provider Enumeration Date | 06/21/2021 |
| Last Update Date | 08/08/2024 |
| Certification Date | 08/08/2024 |
| Medicare PECOS PAC ID | 9739554692 |
|---|---|
| Medicare Enrollment ID | O20230405003121 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548839012 | NPI | - | NPPES |
| TBD | Other | TBD |
| Provider Name | Lisa Lacarrubba |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1962589432 PECOS PAC ID: 0143238196 Enrollment ID: I20230405003135 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |