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230 N Washington St Ste 206 Rockville MD 20850-1778 | |
| (301) 315-9009 | |
| (301) 315-2288 |
| Full Name | |
|---|---|
| Speciality | Social Worker |
| Location | 230 N Washington St Ste 206, Rockville, Maryland |
| Authorized Official Name and Position | Heather Gandy (NATIONAL DIRECTOR OF BUSINESS OP) |
| Authorized Official Contact | 6306531717 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
2150 Lakeside Blvd Ste 100 Richardson TX 75082-4467 Ph: (972) 437-4698 | 230 N Washington St Ste 206 Rockville MD 20850-1778 Ph: (301) 315-9009 |
| NPI Number | 1215984323 |
|---|---|
| Provider Enumeration Date | 05/27/2006 |
| Last Update Date | 09/20/2022 |
| Certification Date | 09/20/2022 |
| Medicare PECOS PAC ID | 4981875341 |
|---|---|
| Medicare Enrollment ID | O20111115000665 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1215984323 | NPI | - | NPPES |
| Provider Name | Barry A Levy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407925514 PECOS PAC ID: 9739249301 Enrollment ID: I20081201000150 |
| Provider Name | John P O Brien |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700137940 PECOS PAC ID: 6800031394 Enrollment ID: I20150605000761 |
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