| Midcounty Therapy, Llc | |
|
18502 Office Park Dr Montgomery Village MD 20886-0585 | |
| (301) 509-9359 | |
| Not Available |
| Full Name | Midcounty Therapy, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 18502 Office Park Dr, Montgomery Village, Maryland |
| Authorized Official Name and Position | Nathaniel Sawyer (OWNER AND THERAPIST) |
| Authorized Official Contact | 3015099359 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midcounty Therapy, Llc 18502 Office Park Dr Montgomery Village MD 20886-0585 Ph: (301) 509-9359 | Midcounty Therapy, Llc 18502 Office Park Dr Montgomery Village MD 20886-0585 Ph: (301) 509-9359 |
| NPI Number | 1518339498 |
|---|---|
| Provider Enumeration Date | 10/30/2015 |
| Last Update Date | 10/30/2015 |
| Medicare PECOS PAC ID | 8426318197 |
|---|---|
| Medicare Enrollment ID | O20180129002082 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1518339498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 15858 (Maryland) | Primary |
| Provider Name | Nathaniel Addison Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316263239 PECOS PAC ID: 6800924903 Enrollment ID: I20130430000019 |
| Provider Name | Marwan Castellani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679002471 PECOS PAC ID: 9032540216 Enrollment ID: I20200505000028 |
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