| Diversified Counseling Services, Llc | |
|
9135 Piscataway Rd Ste 220 Clinton MD 20735-2542 | |
| (301) 856-3636 | |
| (866) 422-8982 |
| Full Name | Diversified Counseling Services, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 9135 Piscataway Rd Ste 220, Clinton, Maryland |
| Authorized Official Name and Position | Carolyn Geraldine Dawkins (OWNER) |
| Authorized Official Contact | 3016512921 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Diversified Counseling Services, Llc 9135 Piscataway Rd Ste 220 Clinton MD 20735-2542 Ph: (301) 856-3636 | Diversified Counseling Services, Llc 9135 Piscataway Rd Ste 220 Clinton MD 20735-2542 Ph: (301) 856-3636 |
| NPI Number | 1659744266 |
|---|---|
| Provider Enumeration Date | 11/04/2015 |
| Last Update Date | 05/10/2024 |
| Certification Date | 05/10/2024 |
| Medicare PECOS PAC ID | 0648286831 |
|---|---|
| Medicare Enrollment ID | O20060224000483 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659744266 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 09930 (Maryland) | Primary |
| Provider Name | Kenneth J Hoffman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902806821 PECOS PAC ID: 3779537725 Enrollment ID: I20050311000634 |
| Provider Name | Carolyn G Dawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740236462 PECOS PAC ID: 9638185820 Enrollment ID: I20060224000519 |
| Provider Name | Sonja E Watts Means |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376695890 PECOS PAC ID: 8123127776 Enrollment ID: I20070621000490 |
| Provider Name | Kathleen C Ackerman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730309501 PECOS PAC ID: 8628158698 Enrollment ID: I20080109000182 |
| Provider Name | James Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1326003807 PECOS PAC ID: 9032369160 Enrollment ID: I20121106000354 |
| Provider Name | Anthony Doran |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1942238647 PECOS PAC ID: 2567680416 Enrollment ID: I20150527000189 |
| Provider Name | Natasha R Bowditch |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710275516 PECOS PAC ID: 2769742220 Enrollment ID: I20180201002738 |
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