| Debra S Ward Lcsw-c Llc | |
|
113 S Prospect St Hagerstown MD 21740-5409 | |
| (301) 745-1900 | |
| (301) 745-4110 |
| Full Name | Debra S Ward Lcsw-c Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 113 S Prospect St, Hagerstown, Maryland |
| Authorized Official Name and Position | Debra Sue Ward (OWNER) |
| Authorized Official Contact | 3017451900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Debra S Ward Lcsw-c Llc 113 S Prospect St Hagerstown MD 21740-5409 Ph: (301) 745-1900 | Debra S Ward Lcsw-c Llc 113 S Prospect St Hagerstown MD 21740-5409 Ph: (301) 745-1900 |
| NPI Number | 1285284042 |
|---|---|
| Provider Enumeration Date | 09/13/2019 |
| Last Update Date | 09/14/2019 |
| Medicare PECOS PAC ID | 8527390962 |
|---|---|
| Medicare Enrollment ID | O20191104002611 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285284042 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Debra Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619112976 PECOS PAC ID: 0143552588 Enrollment ID: I20191104002761 |
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