Design For Your Soul | |
6274 White Birch Rd Eldersburg MD 21784-8528 | |
(410) 925-1422 | |
Not Available |
Full Name | Design For Your Soul |
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Speciality | Social Worker |
Location | 6274 White Birch Rd, Eldersburg, Maryland |
Authorized Official Name and Position | Marci Drimer-jaffe (CLINICAL SOCIAL WORKER) |
Authorized Official Contact | 4109251422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Design For Your Soul 6274 White Birch Rd Eldersburg MD 21784-8528 Ph: () - | Design For Your Soul 6274 White Birch Rd Eldersburg MD 21784-8528 Ph: (410) 925-1422 |
NPI Number | 1407633928 |
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Provider Enumeration Date | 09/08/2023 |
Last Update Date | 09/08/2023 |
Certification Date | 09/08/2023 |
Medicare PECOS PAC ID | 7810342839 |
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Medicare Enrollment ID | O20231011003267 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407633928 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Marci L Drimer |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1225226277 PECOS PAC ID: 3779872304 Enrollment ID: I20230809001511 |
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