| Project Chesapeake, Llc | |
|
108 Old Solomons Island Rd Building 2 Suite 1 Annapolis MD 21401-3845 | |
| (443) 214-5097 | |
| Not Available |
| Full Name | Project Chesapeake, Llc |
|---|---|
| Speciality | Clinic/Center |
| Location | 108 Old Solomons Island Rd, Annapolis, Maryland |
| Authorized Official Name and Position | Joseph Rogers (PARTNER) |
| Authorized Official Contact | 4434405780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Chesapeake, Llc 185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 Ph: (443) 440-5780 | Project Chesapeake, Llc 108 Old Solomons Island Rd Building 2 Suite 1 Annapolis MD 21401-3845 Ph: (443) 214-5097 |
| NPI Number | 1134539208 |
|---|---|
| Provider Enumeration Date | 04/29/2014 |
| Last Update Date | 04/12/2023 |
| Certification Date | 04/12/2023 |
| Medicare PECOS PAC ID | 2769603034 |
|---|---|
| Medicare Enrollment ID | O20141030000682 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134539208 | NPI | - | NPPES |
| 423286100 | Medicaid | MD |
| Provider Name | Rebekha Ann Rogers |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962810473 PECOS PAC ID: 3678794948 Enrollment ID: I20141030000855 |
| Provider Name | Amy L Shives |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992257687 PECOS PAC ID: 4880962703 Enrollment ID: I20170619001362 |
| Provider Name | Paula Maria Christie |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487192035 PECOS PAC ID: 2769753391 Enrollment ID: I20170801000388 |
| Provider Name | Hannah J Ong |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922201417 PECOS PAC ID: 6901143478 Enrollment ID: I20190314001018 |
| Provider Name | Stacy Laskin Gillen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891100467 PECOS PAC ID: 5991045486 Enrollment ID: I20190320000702 |
| Provider Name | Breanna Sloan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205447273 PECOS PAC ID: 0749690683 Enrollment ID: I20201109000110 |
| Provider Name | Kendall Rose Savage |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174025498 PECOS PAC ID: 0840695961 Enrollment ID: I20210826002879 |
| Provider Name | Laura Elizabeth Grassinger |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1871110809 PECOS PAC ID: 3274901723 Enrollment ID: I20221115001377 |
| Provider Name | Laina Santamaria |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689320194 PECOS PAC ID: 0749642767 Enrollment ID: I20230808002259 |
| Provider Name | Nicole Marie Wike |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1033786363 PECOS PAC ID: 5698129229 Enrollment ID: I20230929001854 |
| Provider Name | Joseph Hodge |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932855947 PECOS PAC ID: 1557712718 Enrollment ID: I20240111004084 |
| Provider Name | Vivian Adaeze Imo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528651924 PECOS PAC ID: 3072965813 Enrollment ID: I20240117004217 |
| Provider Name | John Howard Anderson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1457961005 PECOS PAC ID: 8921456468 Enrollment ID: I20240228000979 |
| Provider Name | Sydney Fittro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760098891 PECOS PAC ID: 8921456062 Enrollment ID: I20240322004164 |
| Provider Name | Amanda Puckett |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1114629037 PECOS PAC ID: 3971940891 Enrollment ID: I20240327000400 |
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