Collaborative Concepts Of Maryland | |
1400 Mercantile Lane, Suite 208 Largo MD 20774 | |
(301) 318-1148 | |
Not Available |
Full Name | Collaborative Concepts Of Maryland |
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Speciality | Social Worker - Clinical |
Location | 1400 Mercantile Lane, Suite 208, Largo, Maryland |
Authorized Official Name and Position | Shirley R. Newton-guest (LICENSED CERTIFIED SOCIAL WORKER-CL) |
Authorized Official Contact | 3013181148 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Collaborative Concepts Of Maryland 1400 Mercantile Lane, Suite 208 Largo MD 20774 Ph: (301) 318-1148 | Collaborative Concepts Of Maryland 1400 Mercantile Lane, Suite 208 Largo MD 20774 Ph: (301) 318-1148 |
NPI Number | 1861968489 |
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Provider Enumeration Date | 10/22/2018 |
Last Update Date | 10/22/2018 |
Identifier | Type | State | Issuer |
---|---|---|---|
1861968489 | NPI | - | NPPES |
062835200 | Medicaid | MD | |
512512000 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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