| Jennifer Wilson Lcswc Lcadc Llc | |
|
9199 Reisterstown Rd Ste 202b Owings Mills MD 21117-4579 | |
| (410) 868-0001 | |
| Not Available |
| Full Name | Jennifer Wilson Lcswc Lcadc Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9199 Reisterstown Rd Ste 202b, Owings Mills, Maryland |
| Authorized Official Name and Position | Jennifer W Wilson (OWNER) |
| Authorized Official Contact | 4108680001 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jennifer Wilson Lcswc Lcadc Llc 16528 Falls Rd Upperco MD 21155-9483 Ph: (410) 868-0001 | Jennifer Wilson Lcswc Lcadc Llc 9199 Reisterstown Rd Ste 202b Owings Mills MD 21117-4579 Ph: (410) 868-0001 |
| NPI Number | 1033691407 |
|---|---|
| Provider Enumeration Date | 09/03/2018 |
| Last Update Date | 03/03/2023 |
| Certification Date | 03/03/2023 |
| Medicare PECOS PAC ID | 3870839590 |
|---|---|
| Medicare Enrollment ID | O20190116002303 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033691407 | NPI | - | NPPES |
| Provider Name | Jennifer W Wilson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093120677 PECOS PAC ID: 2567736812 Enrollment ID: I20170925003135 |
| Provider Name | Kimberly Anne Toepfer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407485907 PECOS PAC ID: 6305277567 Enrollment ID: I20200504001796 |
| Provider Name | Megan P Robison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326606880 PECOS PAC ID: 0941692982 Enrollment ID: I20220125000094 |
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