John P. Geremia, Lcsw-c, Llc | |
8331 Lincoln Dr Jessup MD 20794-9454 | |
(410) 799-5092 | |
(410) 799-5092 |
Full Name | John P. Geremia, Lcsw-c, Llc |
---|---|
Speciality | Social Worker |
Location | 8331 Lincoln Dr, Jessup, Maryland |
Authorized Official Name and Position | John P Geremia (PSYCHOTHERAPIST) |
Authorized Official Contact | 4107995092 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
John P. Geremia, Lcsw-c, Llc 8331 Lincoln Dr Jessup MD 20794-9454 Ph: (410) 799-5092 | John P. Geremia, Lcsw-c, Llc 8331 Lincoln Dr Jessup MD 20794-9454 Ph: (410) 799-5092 |
NPI Number | 1174711626 |
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Provider Enumeration Date | 10/10/2007 |
Last Update Date | 10/10/2007 |
Medicare PECOS PAC ID | 4385729300 |
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Medicare Enrollment ID | O20080314000051 |
Identifier | Type | State | Issuer |
---|---|---|---|
1174711626 | NPI | - | NPPES |
10830 | Other | MD | LICENSE |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | 10830 (Maryland) | Primary |
Provider Name | John P Geremia |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1104852912 PECOS PAC ID: 6800840133 Enrollment ID: I20080314000047 |
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