| Living Deliberately | |
|
4419 Falls Rd Baltimore MD 21211-1226 | |
| (410) 262-9894 | |
| Not Available |
| Full Name | Living Deliberately |
|---|---|
| Speciality | Social Worker |
| Location | 4419 Falls Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Thinh Nguyen (OWNER) |
| Authorized Official Contact | 4102629894 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Living Deliberately 2609 Manhattan Ave Baltimore MD 21215-4116 Ph: (410) 262-9894 | Living Deliberately 4419 Falls Rd Baltimore MD 21211-1226 Ph: (410) 262-9894 |
| NPI Number | 1326435652 |
|---|---|
| Provider Enumeration Date | 04/24/2015 |
| Last Update Date | 03/08/2024 |
| Certification Date | 03/08/2024 |
| Medicare PECOS PAC ID | 0244772622 |
|---|---|
| Medicare Enrollment ID | O20240613000729 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326435652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17433 (Maryland) | Primary |
| Provider Name | Susan L Shafer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1932185436 PECOS PAC ID: 2668459074 Enrollment ID: I20040706000215 |
| Provider Name | Thinh T Nguyen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881856698 PECOS PAC ID: 4789845165 Enrollment ID: I20120411000503 |
| Provider Name | Nkiru Smith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205332814 PECOS PAC ID: 4385868884 Enrollment ID: I20201217000015 |
| Provider Name | Debra Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922725837 PECOS PAC ID: 9032575808 Enrollment ID: I20240409001982 |
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