| Kilgalen Associates Pa | |
|
1716 Harford Rd Suite 204 Fallston MD 21047 | |
| (410) 877-7207 | |
| (410) 877-7224 |
| Full Name | Kilgalen Associates Pa |
|---|---|
| Speciality | Social Worker |
| Location | 1716 Harford Rd, Fallston, Maryland |
| Authorized Official Name and Position | James F Kilgalen (DIRECTOR SR CLINICIAN) |
| Authorized Official Contact | 4108777207 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kilgalen Associates Pa 1716 Harford Rd Suite 204 Fallston MD 21047 Ph: (410) 877-7207 | Kilgalen Associates Pa 1716 Harford Rd Suite 204 Fallston MD 21047 Ph: (410) 877-7207 |
| NPI Number | 1861598484 |
|---|---|
| Provider Enumeration Date | 09/15/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 1557318854 |
|---|---|
| Medicare Enrollment ID | O20050407000799 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861598484 | NPI | - | NPPES |
| KC83 | Other | MD | BLUE CROSS BLUE SHIELD |
| T460 | Other | MD | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 03374 (Maryland) | Primary |
| Provider Name | Diana S Cassilly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417163395 PECOS PAC ID: 8123094471 Enrollment ID: I20040908000556 |
| Provider Name | Donna L Neidecker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306084678 PECOS PAC ID: 9032125083 Enrollment ID: I20060228000399 |
| Provider Name | Megan R Silverman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821012931 PECOS PAC ID: 8628139011 Enrollment ID: I20081203000691 |
| Provider Name | James F Kilgalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447466172 PECOS PAC ID: 1355447186 Enrollment ID: I20101015000473 |
| Provider Name | Kathleen E Kilgalen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750716189 PECOS PAC ID: 7315166634 Enrollment ID: I20140919000172 |
| Provider Name | Kelly T Schroeder |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104254069 PECOS PAC ID: 5597059832 Enrollment ID: I20160809000890 |
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