| Maryland Group Faculty Practice Llc | |
|
419 W Redwood St Suite 570 Baltimore MD 21201-1734 | |
| (410) 328-6106 | |
| (410) 328-1130 |
| Full Name | Maryland Group Faculty Practice Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 419 W Redwood St, Baltimore, Maryland |
| Authorized Official Name and Position | Michele James (OFFICE MANAGER) |
| Authorized Official Contact | 4105988700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Maryland Group Faculty Practice Llc 419 W Redwood St Suite 570 Baltimore MD 21201-1734 Ph: (410) 328-6106 | Maryland Group Faculty Practice Llc 419 W Redwood St Suite 570 Baltimore MD 21201-1734 Ph: (410) 328-6106 |
| NPI Number | 1104036300 |
|---|---|
| Provider Enumeration Date | 05/23/2007 |
| Last Update Date | 10/14/2022 |
| Certification Date | 10/14/2022 |
| Medicare PECOS PAC ID | 5799671533 |
|---|---|
| Medicare Enrollment ID | O20040226001095 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104036300 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (Maryland) | Primary |
| Provider Name | Barbara P Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316043185 PECOS PAC ID: 1254384043 Enrollment ID: I20050221000574 |
| Provider Name | Yolanda M Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669676177 PECOS PAC ID: 8325131519 Enrollment ID: I20070904000532 |
| Provider Name | Rachael D Wallace |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619104742 PECOS PAC ID: 7113069634 Enrollment ID: I20100121000787 |
| Provider Name | Jewell E Benford |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1932257326 PECOS PAC ID: 1658548227 Enrollment ID: I20120123000332 |
| Provider Name | Wanda D Binns |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083904478 PECOS PAC ID: 8123257391 Enrollment ID: I20140211000050 |
| Provider Name | Renee Bell Hoeckel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083044309 PECOS PAC ID: 9335439702 Enrollment ID: I20160526001714 |
| Provider Name | Carol Z Schulman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619094729 PECOS PAC ID: 9032147954 Enrollment ID: I20190325001832 |
| Provider Name | Nicholas S Kopp |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720097132 PECOS PAC ID: 2961762604 Enrollment ID: I20210126000202 |
| Provider Name | Barbara J Sadauski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1922017979 PECOS PAC ID: 5991173064 Enrollment ID: I20221121001759 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |