| Mary Blotzer Lcsw C Pa | |
|
7310 Quantum Leap Ln Bowie MD 20720-4301 | |
| (240) 374-3263 | |
| Not Available |
| Full Name | Mary Blotzer Lcsw C Pa |
|---|---|
| Speciality | Social Worker |
| Location | 7310 Quantum Leap Ln, Bowie, Maryland |
| Authorized Official Name and Position | Mary A Blotzer (PRESIDENT) |
| Authorized Official Contact | 2403743263 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Mary Blotzer Lcsw C Pa 7310 Quantum Leap Ln Bowie MD 20720-4301 Ph: (240) 374-3263 | Mary Blotzer Lcsw C Pa 7310 Quantum Leap Ln Bowie MD 20720-4301 Ph: (240) 374-3263 |
| NPI Number | 1427228584 |
|---|---|
| Provider Enumeration Date | 03/05/2008 |
| Last Update Date | 03/01/2011 |
| Medicare PECOS PAC ID | 4082792908 |
|---|---|
| Medicare Enrollment ID | O20080417000438 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427228584 | NPI | - | NPPES |
| 014653600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05557 (Maryland) | Primary |
| Provider Name | Mary A Blotzer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114062866 PECOS PAC ID: 7911085832 Enrollment ID: I20080417000427 |
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