Megan Robison, Lcswc Llc | |
5105 Thomas Ave Baltimore MD 21236-4237 | |
(443) 814-9411 | |
Not Available |
Full Name | Megan Robison, Lcswc Llc |
---|---|
Speciality | Social Worker |
Location | 5105 Thomas Ave, Baltimore, Maryland |
Authorized Official Name and Position | Megan P Robison (EXECUTIVE OFFICER) |
Authorized Official Contact | 4438149411 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Megan Robison, Lcswc Llc 5105 Thomas Ave Baltimore MD 21236-4237 Ph: (443) 814-9411 | Megan Robison, Lcswc Llc 5105 Thomas Ave Baltimore MD 21236-4237 Ph: (443) 814-9411 |
NPI Number | 1760182034 |
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Provider Enumeration Date | 03/06/2023 |
Last Update Date | 11/09/2024 |
Certification Date | 11/09/2024 |
Medicare PECOS PAC ID | 6507215399 |
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Medicare Enrollment ID | O20231205002166 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760182034 | NPI | - | NPPES |
1326606880 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Megan P Robison |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326606880 PECOS PAC ID: 0941692982 Enrollment ID: I20220125000094 |
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