| Nancy Ebb Llc | |
|
4405 E West Hwy Ste 501 Bethesda MD 20814-4536 | |
| (301) 538-1624 | |
| Not Available |
| Full Name | Nancy Ebb Llc |
|---|---|
| Speciality | Social Worker |
| Location | 4405 E West Hwy Ste 501, Bethesda, Maryland |
| Authorized Official Name and Position | Nancy Ebb (SOLE OWNER) |
| Authorized Official Contact | 3015381624 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Nancy Ebb Llc 7171 Woodmont Ave Unit 601 Bethesda MD 20815-6276 Ph: (301) 538-1624 | Nancy Ebb Llc 4405 E West Hwy Ste 501 Bethesda MD 20814-4536 Ph: (301) 538-1624 |
| NPI Number | 1992366413 |
|---|---|
| Provider Enumeration Date | 06/25/2019 |
| Last Update Date | 06/25/2019 |
| Medicare PECOS PAC ID | 2860724580 |
|---|---|
| Medicare Enrollment ID | O20191030001925 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992366413 | NPI | - | NPPES |
| 403771500 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Nancy Ebb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992866891 PECOS PAC ID: 1951619840 Enrollment ID: I20150925001034 |
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