| Empowerment Behavioral Therapeutic Services | |
|
6475 New Hampshire Ave # C-700 Hyattsville MD 20783-3269 | |
| (240) 565-2558 | |
| Not Available |
| Full Name | Empowerment Behavioral Therapeutic Services |
|---|---|
| Speciality | Social Worker |
| Location | 6475 New Hampshire Ave # C-700, Hyattsville, Maryland |
| Authorized Official Name and Position | David Shrank (FOUNDER AND CEO) |
| Authorized Official Contact | 2405652558 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Empowerment Behavioral Therapeutic Services 1217 Arcola Ave Silver Spring MD 20902-3407 Ph: (240) 565-2558 | Empowerment Behavioral Therapeutic Services 6475 New Hampshire Ave # C-700 Hyattsville MD 20783-3269 Ph: (240) 565-2558 |
| NPI Number | 1841745841 |
|---|---|
| Provider Enumeration Date | 08/18/2016 |
| Last Update Date | 09/14/2023 |
| Certification Date | 09/14/2023 |
| Medicare PECOS PAC ID | 0446687586 |
|---|---|
| Medicare Enrollment ID | O20200302000253 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1841745841 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 19015 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | LC50080481 (District Of Columbia) | Secondary |
| Provider Name | David Shrank |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174078448 PECOS PAC ID: 6507293644 Enrollment ID: I20200302000684 |
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