| Kathryn Westlein, Lcsw-c Llc | |
|
3565 C2 Ellicott Mills Dr Suite 101 Ellicott City MD 21043 | |
| (410) 916-0280 | |
| (443) 592-9004 |
| Full Name | Kathryn Westlein, Lcsw-c Llc |
|---|---|
| Speciality | Social Worker |
| Location | 3565 C2 Ellicott Mills Dr, Ellicott City, Maryland |
| Authorized Official Name and Position | Kathryn M Westlein (OWNER) |
| Authorized Official Contact | 4109160280 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kathryn Westlein, Lcsw-c Llc 3565 C2 Ellicott Mills Dr Suite 101 Ellicott City MD 21043 Ph: (410) 916-0280 | Kathryn Westlein, Lcsw-c Llc 3565 C2 Ellicott Mills Dr Suite 101 Ellicott City MD 21043 Ph: (410) 916-0280 |
| NPI Number | 1669014551 |
|---|---|
| Provider Enumeration Date | 10/11/2019 |
| Last Update Date | 09/27/2024 |
| Certification Date | 09/27/2024 |
| Medicare PECOS PAC ID | 3971935818 |
|---|---|
| Medicare Enrollment ID | O20191115000229 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669014551 | NPI | - | NPPES |
| 334424000 | Medicaid | MD | |
| 3350223300 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Kathryn M Westlein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629164652 PECOS PAC ID: 8729077649 Enrollment ID: I20040506001710 |
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