| Desired Social Services, Llc | |
|
13206 Idlewild Dr Bowie MD 20715-1406 | |
| (216) 965-4495 | |
| Not Available |
| Full Name | Desired Social Services, Llc |
|---|---|
| Speciality | Counselor |
| Location | 13206 Idlewild Dr, Bowie, Maryland |
| Authorized Official Name and Position | Desiree R Washington (OWNER) |
| Authorized Official Contact | 2402454663 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Desired Social Services, Llc 13206 Idlewild Dr Bowie MD 20715-1406 Ph: (216) 965-4495 | Desired Social Services, Llc 13206 Idlewild Dr Bowie MD 20715-1406 Ph: (216) 965-4495 |
| NPI Number | 1902366453 |
|---|---|
| Provider Enumeration Date | 03/21/2019 |
| Last Update Date | 02/28/2023 |
| Certification Date | 02/28/2023 |
| Medicare PECOS PAC ID | 5597007617 |
|---|---|
| Medicare Enrollment ID | O20190422000072 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902366453 | NPI | - | NPPES |
| Provider Name | Desiree R Washington |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881154326 PECOS PAC ID: 6406198522 Enrollment ID: I20190422000091 |
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