Pearson-carmody Counseling | |
32630 Cedar Dr Unit A Millville DE 19967-6946 | |
(443) 206-0457 | |
(302) 402-6100 |
Full Name | Pearson-carmody Counseling |
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Speciality | Social Worker |
Location | 32630 Cedar Dr Unit A, Millville, Delaware |
Authorized Official Name and Position | Amanda E Pearson-carmody (LCSW/OWNER) |
Authorized Official Contact | 4432060457 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Pearson-carmody Counseling Po Box 572 Bethany Beach DE 19930-0572 Ph: (443) 206-0457 | Pearson-carmody Counseling 32630 Cedar Dr Unit A Millville DE 19967-6946 Ph: (443) 206-0457 |
NPI Number | 1750727970 |
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Provider Enumeration Date | 05/14/2013 |
Last Update Date | 03/18/2024 |
Certification Date | 03/18/2024 |
Medicare PECOS PAC ID | 5193962082 |
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Medicare Enrollment ID | O20130716000022 |
Identifier | Type | State | Issuer |
---|---|---|---|
1750727970 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
251S00000X | Community/behavioral Health | Q1-0000983 (Delaware) | Secondary |
Provider Name | Amanda E Pearson-carmody |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1083957963 PECOS PAC ID: 1658518337 Enrollment ID: I20130517000043 |
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