Mental Health Association Of Frederick County, Counseling Servic | |
226 South Jefferson St Frederick MD 21701 | |
(301) 663-6135 | |
(301) 663-5738 |
Full Name | Mental Health Association Of Frederick County, Counseling Servic |
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Speciality | Counselor |
Location | 226 South Jefferson St, Frederick, Maryland |
Authorized Official Name and Position | Shannon Aleshire (CEO) |
Authorized Official Contact | 3016630011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Mental Health Association Of Frederick County, Counseling Servic 226 South Jefferson St Frederick MD 21701 Ph: (301) 663-6135 | Mental Health Association Of Frederick County, Counseling Servic 226 South Jefferson St Frederick MD 21701 Ph: (301) 663-6135 |
NPI Number | 1821286675 |
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Provider Enumeration Date | 10/05/2007 |
Last Update Date | 05/25/2016 |
Medicare PECOS PAC ID | 8022051432 |
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Medicare Enrollment ID | O20050607000549 |
Identifier | Type | State | Issuer |
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1821286675 | NPI | - | NPPES |
819101800 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
101YM0800X | Counselor - Mental Health | (Maryland) | Primary |
Provider Name | Nancy Miller |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1205803707 PECOS PAC ID: 6406998301 Enrollment ID: I20100114000724 |
Provider Name | Mary Graham |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1932360534 PECOS PAC ID: 8729348578 Enrollment ID: I20180216000170 |
Provider Name | Josyane M Kengni |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1841750205 PECOS PAC ID: 3678802956 Enrollment ID: I20200327000766 |
Provider Name | Eva Marie Costlow |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811594849 PECOS PAC ID: 2860811031 Enrollment ID: I20201007003241 |
Provider Name | Kelly Amike Ngenge |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1689286197 PECOS PAC ID: 6608296546 Enrollment ID: I20201015000829 |
Provider Name | Lisa Gottlieb |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1265025092 PECOS PAC ID: 5193131423 Enrollment ID: I20210310002039 |
Provider Name | Linda A Cann |
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Provider Type | Practitioner - Nurse Practitioner |
Provider Identifiers | NPI Number: 1033754221 PECOS PAC ID: 1658768775 Enrollment ID: I20220420000456 |
Provider Name | Kellen Elise Franklin |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1811632615 PECOS PAC ID: 6507214160 Enrollment ID: I20231121001816 |
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