| Katrin J. Haller, Msw, Lcsw-c | |
|
2 Wisconsin Cir Ste 915 Chevy Chase MD 20815-7036 | |
| (240) 464-5064 | |
| Not Available |
| Full Name | Katrin J. Haller, Msw, Lcsw-c |
|---|---|
| Speciality | Social Worker |
| Location | 2 Wisconsin Cir Ste 915, Chevy Chase, Maryland |
| Authorized Official Name and Position | Katrin Haller (LCSWC) |
| Authorized Official Contact | 2404645064 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Katrin J. Haller, Msw, Lcsw-c 2 Wisconsin Cir Ste 915 Chevy Chase MD 20815-7036 Ph: (240) 464-5064 | Katrin J. Haller, Msw, Lcsw-c 2 Wisconsin Cir Ste 915 Chevy Chase MD 20815-7036 Ph: (240) 464-5064 |
| NPI Number | 1225528573 |
|---|---|
| Provider Enumeration Date | 05/12/2018 |
| Last Update Date | 12/17/2018 |
| Medicare PECOS PAC ID | 0143565242 |
|---|---|
| Medicare Enrollment ID | O20181218002238 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225528573 | NPI | - | NPPES |
| 1245572445 | Other | MD | BLUE CROSS BLUE SHIELDS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17423 (Maryland) | Primary |
| Provider Name | Katrin A Haller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245572445 PECOS PAC ID: 7113262221 Enrollment ID: I20181218002421 |
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