| Renewal Counseling Center, Inc | |
|
9414 Belair Rd Ste 201 Baltimore MD 21236-1542 | |
| (410) 529-2151 | |
| Not Available |
| Full Name | Renewal Counseling Center, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 9414 Belair Rd Ste 201, Baltimore, Maryland |
| Authorized Official Name and Position | John H Adair (VICE PRESIDENT) |
| Authorized Official Contact | 4432336770 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Renewal Counseling Center, Inc 201 Eastern Blvd Ste A Baltimore MD 21221-6958 Ph: (410) 391-0047 | Renewal Counseling Center, Inc 9414 Belair Rd Ste 201 Baltimore MD 21236-1542 Ph: (410) 529-2151 |
| NPI Number | 1417086737 |
|---|---|
| Provider Enumeration Date | 03/04/2007 |
| Last Update Date | 08/06/2020 |
| Certification Date | 08/06/2020 |
| Medicare PECOS PAC ID | 2062454747 |
|---|---|
| Medicare Enrollment ID | O20050523001264 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417086737 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 02753 (Maryland) | Primary |
| Provider Name | Gwen B Trader |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376602920 PECOS PAC ID: 8628264074 Enrollment ID: I20101124000085 |
| Provider Name | Martha L Miller |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164586319 PECOS PAC ID: 4880881572 Enrollment ID: I20101207000850 |
| Provider Name | Robert Rivera |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1750307427 PECOS PAC ID: 4385817378 Enrollment ID: I20111108000611 |
| Provider Name | Lois E Sheeler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235292152 PECOS PAC ID: 3678708146 Enrollment ID: I20140911000153 |
| Provider Name | Robert Bowen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1073064176 PECOS PAC ID: 8820379852 Enrollment ID: I20170105000108 |
| Provider Name | Lauren D Beougher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740723626 PECOS PAC ID: 6103107800 Enrollment ID: I20170111000412 |
| Provider Name | Courtnee A Wright |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851772727 PECOS PAC ID: 7517224967 Enrollment ID: I20171120003572 |
| Provider Name | Falisha Jankiewicz Redenbaugh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013437631 PECOS PAC ID: 9830452325 Enrollment ID: I20180416001177 |
| Provider Name | Gail M Wilson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760652739 PECOS PAC ID: 5395198279 Enrollment ID: I20240126002205 |
| Provider Name | Robert Royal Castle |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1043586209 PECOS PAC ID: 3577907237 Enrollment ID: I20240221001524 |
| Provider Name | Octavia Baryayebwa |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1447004577 PECOS PAC ID: 9234579772 Enrollment ID: I20240430003950 |
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