| Lesliekrohn Lcswc Inc. | |
|
5901 Falls Rd Baltimore MD 21209-3725 | |
| (443) 869-5731 | |
| Not Available |
| Full Name | Lesliekrohn Lcswc Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 5901 Falls Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Leslie Krohn (PRESIDENT) |
| Authorized Official Contact | 4438695731 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lesliekrohn Lcswc Inc. 5901 Falls Rd Baltimore MD 21209-3725 Ph: (443) 869-5731 | Lesliekrohn Lcswc Inc. 5901 Falls Rd Baltimore MD 21209-3725 Ph: (443) 869-5731 |
| NPI Number | 1336384734 |
|---|---|
| Provider Enumeration Date | 12/13/2008 |
| Last Update Date | 12/22/2008 |
| Medicare PECOS PAC ID | 6901969096 |
|---|---|
| Medicare Enrollment ID | O20090115000630 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1336384734 | NPI | - | NPPES |
| 1598967234 | Other | MD | NPI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 04282 (Maryland) | Secondary |
| 251S00000X | Community/behavioral Health | 04282 (Maryland) | Primary |
| Provider Name | Leslie M Krohn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598967234 PECOS PAC ID: 3678486149 Enrollment ID: I20031111000097 |
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