| Judith Lynn Mounty Lcsw Llc | |
|
508 Lincoln Ave Takoma Park MD 20912-5802 | |
| (240) 423-4863 | |
| Not Available |
| Full Name | Judith Lynn Mounty Lcsw Llc |
|---|---|
| Speciality | Social Worker |
| Location | 508 Lincoln Ave, Takoma Park, Maryland |
| Authorized Official Name and Position | Judith Lynn Mounty (OWNER) |
| Authorized Official Contact | 2404234863 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith Lynn Mounty Lcsw Llc 508 Lincoln Ave Takoma Park MD 20912-5802 Ph: (240) 423-4863 | Judith Lynn Mounty Lcsw Llc 508 Lincoln Ave Takoma Park MD 20912-5802 Ph: (240) 423-4863 |
| NPI Number | 1962037549 |
|---|---|
| Provider Enumeration Date | 03/04/2020 |
| Last Update Date | 03/04/2020 |
| Certification Date | 03/04/2020 |
| Medicare PECOS PAC ID | 8527496678 |
|---|---|
| Medicare Enrollment ID | O20200324000705 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1962037549 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith L Mounty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427296953 PECOS PAC ID: 1759447972 Enrollment ID: I20090312000510 |
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