Elaine A Blong Lcsw Pa | |
13243 Autumn Mist Cir Germantown MD 20874-2138 | |
(301) 916-9374 | |
(301) 916-1045 |
Full Name | Elaine A Blong Lcsw Pa |
---|---|
Speciality | Social Worker |
Location | 13243 Autumn Mist Cir, Germantown, Maryland |
Authorized Official Name and Position | Elaine A Blong (PRESIDENT) |
Authorized Official Contact | 3019169374 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Elaine A Blong Lcsw Pa 13243 Autumn Mist Cir Germantown MD 20874-2138 Ph: (301) 916-9374 | Elaine A Blong Lcsw Pa 13243 Autumn Mist Cir Germantown MD 20874-2138 Ph: (301) 916-9374 |
NPI Number | 1437467586 |
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Provider Enumeration Date | 09/22/2010 |
Last Update Date | 09/22/2010 |
Medicare PECOS PAC ID | 6305891821 |
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Medicare Enrollment ID | O20050317000677 |
Identifier | Type | State | Issuer |
---|---|---|---|
1437467586 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Elaine A Blong |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1972599629 PECOS PAC ID: 4385699800 Enrollment ID: I20050317000709 |
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