| Kimberly Garrison, Lcsw-c, Llc | |
|
2923 Olney Sandy Spring Rd Ste B Olney MD 20832-1581 | |
| (301) 466-9195 | |
| Not Available |
| Full Name | Kimberly Garrison, Lcsw-c, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 2923 Olney Sandy Spring Rd Ste B, Olney, Maryland |
| Authorized Official Name and Position | Kimberly Garrison (OWNER) |
| Authorized Official Contact | 3014669195 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Garrison, Lcsw-c, Llc 2923 Olney Sandy Spring Rd Ste B Olney MD 20832-1581 Ph: (301) 466-9195 | Kimberly Garrison, Lcsw-c, Llc 2923 Olney Sandy Spring Rd Ste B Olney MD 20832-1581 Ph: (301) 466-9195 |
| NPI Number | 1437813235 |
|---|---|
| Provider Enumeration Date | 10/27/2021 |
| Last Update Date | 10/27/2021 |
| Certification Date | 10/27/2021 |
| Medicare PECOS PAC ID | 7618901356 |
|---|---|
| Medicare Enrollment ID | O20050922000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1437813235 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QM0850X | Clinic/center - Adult Mental Health | (* (Not Available)) | Primary |
| Provider Name | Kimberly L Garrison |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053537563 PECOS PAC ID: 1254365992 Enrollment ID: I20050922000520 |
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