|
| |
|
110 N Washington St Ste 200-15 Rockville MD 20850-2223 | |
| (301) 661-1375 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 110 N Washington St Ste 200-15, Rockville, Maryland |
| Authorized Official Name and Position | Daniel P Macy (MANAGING MEMBER) |
| Authorized Official Contact | 3016611375 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
6005 Bryn Mawr Ave Glen Echo MD 20812-1101 Ph: (301) 661-1375 | 110 N Washington St Ste 200-15 Rockville MD 20850-2223 Ph: (301) 661-1375 |
| NPI Number | 1295585214 |
|---|---|
| Provider Enumeration Date | 03/25/2024 |
| Last Update Date | 05/07/2024 |
| Certification Date | 05/07/2024 |
| Medicare PECOS PAC ID | 0749726206 |
|---|---|
| Medicare Enrollment ID | O20240723000141 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295585214 | NPI | - | NPPES |
| 1407021777 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Constance Rojas Macy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407021777 PECOS PAC ID: 8224101662 Enrollment ID: I20080724000522 |
Expressive Therapy Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 14808 Physicians Ln Ste 111, Rockville, MD 20850 Phone: 301-838-4112 Fax: 301-838-0623 | |
Garcia Therapy Services, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1 Research Ct Ste 450, Rockville, MD 20850 Phone: 800-790-8081 Fax: 800-790-8081 | |
Outpatient Alcohol Counseling And Education Services Corp. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 416 Hungerford Dr, 209, Rockville, MD 20850 Phone: 301-762-1383 Fax: 301-762-2048 | |
Montrose View Psychotherapy Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6339 Executive Blvd., Rockville, MD 20852 Phone: 301-881-4884 Fax: 301-881-5447 | |
Chesapeake Counseling Associates, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Randolph Rd Ste G8, Rockville, MD 20852 Phone: 301-231-9001 Fax: 301-231-0124 | |
Metamorphosis Counseling, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3202 Tower Oaks Blvd, Suite 202, Rockville, MD 20852 Phone: 240-498-9282 Fax: 301-770-4225 | |
Action Mental Health Inc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 706 E Gude Dr Unit A Room 2, Rockville, MD 20850 Phone: 240-490-0176 |