| Kara Zoolakis Lcsw-c Llc | |
|
9199 Reisterstown Rd Ste 204b Owings Mills MD 21117-4593 | |
| (443) 871-6042 | |
| Not Available |
| Full Name | Kara Zoolakis Lcsw-c Llc |
|---|---|
| Speciality | Social Worker |
| Location | 9199 Reisterstown Rd Ste 204b, Owings Mills, Maryland |
| Authorized Official Name and Position | Kara Zoolakis (CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4438716042 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kara Zoolakis Lcsw-c Llc 2917 Shaws Rd Edgemere MD 21219-2411 Ph: (443) 871-6042 | Kara Zoolakis Lcsw-c Llc 9199 Reisterstown Rd Ste 204b Owings Mills MD 21117-4593 Ph: (443) 871-6042 |
| NPI Number | 1104400332 |
|---|---|
| Provider Enumeration Date | 05/12/2021 |
| Last Update Date | 05/27/2021 |
| Certification Date | 05/27/2021 |
| Medicare PECOS PAC ID | 1951704758 |
|---|---|
| Medicare Enrollment ID | O20210729003874 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104400332 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kara Zoolakis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679105118 PECOS PAC ID: 3274940754 Enrollment ID: I20210330000161 |
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