| Potomac Case Management Services, Inc. | |
|
1446 W Patrick St Ste 16 Frederick MD 21702-3201 | |
| (301) 791-3087 | |
| (301) 393-0730 |
| Full Name | Potomac Case Management Services, Inc. |
|---|---|
| Speciality | Counselor - Mental Health |
| Location | 1446 W Patrick St Ste 16, Frederick, Maryland |
| Authorized Official Name and Position | Dawn Renee Johns (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3017913087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Potomac Case Management Services, Inc. 22 S Market St Suite 4 Frederick MD 21701-5570 Ph: (301) 791-3087 | Potomac Case Management Services, Inc. 1446 W Patrick St Ste 16 Frederick MD 21702-3201 Ph: (301) 791-3087 |
| NPI Number | 1376919365 |
|---|---|
| Provider Enumeration Date | 08/13/2015 |
| Last Update Date | 02/10/2023 |
| Certification Date | 02/10/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376919365 | NPI | - | NPPES |
| 880111800 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
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