| Project Chesapeake, Llc | |
|
202 Coursevall Dr Ste 104 Centreville MD 21617-2805 | |
| (443) 262-0425 | |
| Not Available |
| Full Name | Project Chesapeake, Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 202 Coursevall Dr Ste 104, Centreville, Maryland |
| Authorized Official Name and Position | Joseph Rogers (PARTNER) |
| Authorized Official Contact | 4434405780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| 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 202 Coursevall Dr Ste 104 Centreville MD 21617-2805 Ph: (443) 262-0425 |
| NPI Number | 1093220022 |
|---|---|
| Provider Enumeration Date | 12/13/2017 |
| Last Update Date | 11/23/2022 |
| Certification Date | 11/23/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093220022 | NPI | - | NPPES |
| 900338 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
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