| Oak Tree Counseling Center | |
|
101 W Ridgely Rd Suite 7a Lutherville MD 21093-5101 | |
| (203) 217-2842 | |
| Not Available |
| Full Name | Oak Tree Counseling Center |
|---|---|
| Speciality | Social Worker |
| Location | 101 W Ridgely Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Lisa D'antonio (PRESIDENT) |
| Authorized Official Contact | 2032172842 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Oak Tree Counseling Center 1714 Kurtz Ave Lutherville MD 21093-5315 Ph: () - | Oak Tree Counseling Center 101 W Ridgely Rd Suite 7a Lutherville MD 21093-5101 Ph: (203) 217-2842 |
| NPI Number | 1275072969 |
|---|---|
| Provider Enumeration Date | 02/15/2017 |
| Last Update Date | 12/05/2019 |
| Medicare PECOS PAC ID | 2961836150 |
|---|---|
| Medicare Enrollment ID | O20191220001969 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275072969 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17330 (Maryland) | Primary |
| Provider Name | Shelley Searfoss |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1073036224 PECOS PAC ID: 2062756281 Enrollment ID: I20181129000177 |
| Provider Name | Lisa D'antonio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689020836 PECOS PAC ID: 4789018979 Enrollment ID: I20191220002045 |
| Provider Name | Nicole Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427455252 PECOS PAC ID: 1658705850 Enrollment ID: I20191220002166 |
| Provider Name | Katherine Dreyer Forsyth |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972135002 PECOS PAC ID: 5395175368 Enrollment ID: I20200416000029 |
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