| Family & Childrens Services Of Central Maryland Inc | |
|
4623 Falls Rd Baltimore MD 21209-4914 | |
| (410) 366-1980 | |
| (410) 366-8530 |
| Full Name | Family & Childrens Services Of Central Maryland Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4623 Falls Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Surbhi Seth (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4103661980 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Family & Childrens Services Of Central Maryland Inc 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 | Family & Childrens Services Of Central Maryland Inc 4623 Falls Rd Baltimore MD 21209-4914 Ph: (410) 366-1980 |
| NPI Number | 1538278809 |
|---|---|
| Provider Enumeration Date | 08/30/2006 |
| Last Update Date | 04/23/2020 |
| Certification Date | 04/23/2020 |
| Medicare PECOS PAC ID | 7719984392 |
|---|---|
| Medicare Enrollment ID | O20061103000070 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1538278809 | NPI | - | NPPES |
| Provider Name | Deanna B Ferrell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922053826 PECOS PAC ID: 8426024282 Enrollment ID: I20040903000027 |
| Provider Name | Ilene S Gallner Toller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962427963 PECOS PAC ID: 1052313228 Enrollment ID: I20070201000353 |
| Provider Name | Nicole L Jackman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063629624 PECOS PAC ID: 6305909631 Enrollment ID: I20090113000809 |
| Provider Name | Jane Claire Abernathy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972587343 PECOS PAC ID: 9234316795 Enrollment ID: I20150122002169 |
| Provider Name | Adebowale Adedayo Popoola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285798843 PECOS PAC ID: 7719070192 Enrollment ID: I20180302000142 |
| Provider Name | Jessica Leigh Placek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336661255 PECOS PAC ID: 0446514913 Enrollment ID: I20180509000947 |
| Provider Name | Ashley N Sweet |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609367911 PECOS PAC ID: 8123450228 Enrollment ID: I20191111002654 |
| Provider Name | Gladys Y Bourne Carter |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528611555 PECOS PAC ID: 3678960663 Enrollment ID: I20220421000583 |
| Provider Name | Cassandra Kimball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528527124 PECOS PAC ID: 8820431422 Enrollment ID: I20240212000841 |
| Provider Name | Kelly Grimes- Acosta |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1023789039 PECOS PAC ID: 6901241173 Enrollment ID: I20240227003036 |
| Provider Name | Melissa Lillian Cougnet |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1376125682 PECOS PAC ID: 2365880531 Enrollment ID: I20240406000179 |
| Provider Name | Jessica Danielle Rehrey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1972946390 PECOS PAC ID: 3072958537 Enrollment ID: I20240501002975 |
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