| Lmcms Peer Support | |
|
850 W Lancaster Ave Bryn Mawr PA 19010-3224 | |
| (610) 520-1510 | |
| (610) 527-1517 |
| Full Name | Lmcms Peer Support |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 850 W Lancaster Ave, Bryn Mawr, Pennsylvania |
| Authorized Official Name and Position | Brian Matthew Rhodes (CEO) |
| Authorized Official Contact | 2159510300 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Lmcms Peer Support 4700 Wissahickon Ave Philadelphia PA 19144-4248 Ph: (215) 951-0300 | Lmcms Peer Support 850 W Lancaster Ave Bryn Mawr PA 19010-3224 Ph: (610) 520-1510 |
| NPI Number | 1548395585 |
|---|---|
| Provider Enumeration Date | 02/22/2007 |
| Last Update Date | 06/17/2024 |
| Certification Date | 06/17/2024 |
| Medicare PECOS PAC ID | 2264341510 |
|---|---|
| Medicare Enrollment ID | O20040507000360 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548395585 | NPI | - | NPPES |
| 105247000 | Other | PR | PA MAG |
| 1000017080219 | Medicaid | PA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | 1000017080219 (Pennsylvania) | Primary |
| Provider Name | Kathleen C Wolff |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184773129 PECOS PAC ID: 4082680582 Enrollment ID: I20040907000702 |
| Provider Name | Gail Greenspan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1093760563 PECOS PAC ID: 1658348453 Enrollment ID: I20040913000099 |
| Provider Name | Anne Furstenberg |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1225227267 PECOS PAC ID: 8022069285 Enrollment ID: I20050204000162 |
| Provider Name | Suzie Long |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962405589 PECOS PAC ID: 5698720092 Enrollment ID: I20050318000257 |
| Provider Name | Bradford D Bobrin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255365367 PECOS PAC ID: 1850347816 Enrollment ID: I20050323000870 |
| Provider Name | Katherine Cornwell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487784740 PECOS PAC ID: 8628045754 Enrollment ID: I20050429000109 |
| Provider Name | Bonny Alexa Hodges |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750338810 PECOS PAC ID: 6709826027 Enrollment ID: I20050505001095 |
| Provider Name | Susan A Bash |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831225531 PECOS PAC ID: 6507807781 Enrollment ID: I20050518000421 |
| Provider Name | Tahir Maqsood |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1558381087 PECOS PAC ID: 0446294458 Enrollment ID: I20050610000399 |
| Provider Name | Mary Carol Campbell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902076920 PECOS PAC ID: 9436102738 Enrollment ID: I20060207000351 |
| Provider Name | Paula L Larson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1831107663 PECOS PAC ID: 1153336755 Enrollment ID: I20060316000013 |
| Provider Name | Audrey Lisa Weaver |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1093784514 PECOS PAC ID: 7517975600 Enrollment ID: I20060331000190 |
| Provider Name | Isaac S Gelley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467490409 PECOS PAC ID: 1052329687 Enrollment ID: I20080521000743 |
| Provider Name | Anne Grant |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619183175 PECOS PAC ID: 8022101070 Enrollment ID: I20080919000532 |
| Provider Name | Hope R Feldman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1396996559 PECOS PAC ID: 7517029895 Enrollment ID: I20081219000548 |
| Provider Name | Jessica W Adler |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366508400 PECOS PAC ID: 2466503669 Enrollment ID: I20090630000035 |
| Provider Name | Haluk K Aydin |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1700857836 PECOS PAC ID: 7618012261 Enrollment ID: I20100306000236 |
| Provider Name | Judith R Stern |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1932220688 PECOS PAC ID: 0941486005 Enrollment ID: I20110525000614 |
| Provider Name | Irene Soeller |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1912944570 PECOS PAC ID: 9739101205 Enrollment ID: I20110707000565 |
| Provider Name | Annette Naesha Deigh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104110311 PECOS PAC ID: 6204005465 Enrollment ID: I20110805000064 |
| Provider Name | Dori Heinrich Middleman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1992808927 PECOS PAC ID: 3476710351 Enrollment ID: I20120203000490 |
| Provider Name | Roomana Sheikh |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801938857 PECOS PAC ID: 4284883398 Enrollment ID: I20121005000069 |
| Provider Name | Linda U Philogene |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124362652 PECOS PAC ID: 4981857778 Enrollment ID: I20130103000014 |
| Provider Name | Brian Bora |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1891892600 PECOS PAC ID: 1456392612 Enrollment ID: I20130305000005 |
| Provider Name | Jay Cantor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821170630 PECOS PAC ID: 2860637584 Enrollment ID: I20130401000261 |
| Provider Name | Maldalena P Marell |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487905014 PECOS PAC ID: 8325285364 Enrollment ID: I20130510000006 |
| Provider Name | Omopariola Adegbola |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1255616397 PECOS PAC ID: 2163657032 Enrollment ID: I20131030001520 |
| Provider Name | Jonathan Kersun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1285797027 PECOS PAC ID: 7012130206 Enrollment ID: I20140515000509 |
| Provider Name | Sarah Rabin Lobron |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1952610800 PECOS PAC ID: 7810118510 Enrollment ID: I20141022000746 |
| Provider Name | Heather A Jacoby |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174925358 PECOS PAC ID: 9234351412 Enrollment ID: I20141104002006 |
| Provider Name | Tarik S Khan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1710247416 PECOS PAC ID: 6002038809 Enrollment ID: I20141111001936 |
| Provider Name | Mia G Ravasio |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538435128 PECOS PAC ID: 4284952904 Enrollment ID: I20150409000688 |
| Provider Name | Juan Gan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1801001136 PECOS PAC ID: 7911226931 Enrollment ID: I20150424000859 |
| Provider Name | Natia Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134520521 PECOS PAC ID: 1254650526 Enrollment ID: I20150507002603 |
| Provider Name | Rosemary Crisfulla |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407098635 PECOS PAC ID: 0345569414 Enrollment ID: I20150512002208 |
| Provider Name | Wendy Rasnick |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730576802 PECOS PAC ID: 3971823980 Enrollment ID: I20150514001782 |
| Provider Name | Candice Ritch Hood |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1053542415 PECOS PAC ID: 8921329657 Enrollment ID: I20150608000523 |
| Provider Name | Abraham S Pachikara |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1699939256 PECOS PAC ID: 0749412773 Enrollment ID: I20150626000717 |
| Provider Name | Sara Deichman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770718199 PECOS PAC ID: 0941512073 Enrollment ID: I20150702001108 |
| Provider Name | Shonda R Nixon |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1003896614 PECOS PAC ID: 4183936065 Enrollment ID: I20150707000791 |
| Provider Name | Dana Charmoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952654238 PECOS PAC ID: 8921310814 Enrollment ID: I20150707001063 |
| Provider Name | Carolyn E Truesdale |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1063492635 PECOS PAC ID: 2961714894 Enrollment ID: I20150707002257 |
| Provider Name | Diane L Cohen |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1437203668 PECOS PAC ID: 9335141860 Enrollment ID: I20150708001114 |
| Provider Name | Delmina Henry |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1467610279 PECOS PAC ID: 6608188412 Enrollment ID: I20150708001398 |
| Provider Name | Kimberly Abel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912325002 PECOS PAC ID: 9234441700 Enrollment ID: I20150713000478 |
| Provider Name | Virginia Harr |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689055675 PECOS PAC ID: 9436464229 Enrollment ID: I20150824001238 |
| Provider Name | Katherine Paul |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1083922041 PECOS PAC ID: 8325356140 Enrollment ID: I20150929000323 |
| Provider Name | Kyle Faye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1629447065 PECOS PAC ID: 9739499930 Enrollment ID: I20151029002622 |
| Provider Name | Michelle Miller |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1477764033 PECOS PAC ID: 0345568390 Enrollment ID: I20160114001866 |
| Provider Name | Karin Rosenzweig |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1912116278 PECOS PAC ID: 7416250048 Enrollment ID: I20160114001938 |
| Provider Name | Frank Torrisi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1952393357 PECOS PAC ID: 9133447212 Enrollment ID: I20160120000224 |
| Provider Name | Sarah E Thornburg |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386011716 PECOS PAC ID: 6507169372 Enrollment ID: I20160128001496 |
| Provider Name | Christine Masciarelli |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285838474 PECOS PAC ID: 4082919170 Enrollment ID: I20160229000230 |
| Provider Name | Anamaria De Nardo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043673593 PECOS PAC ID: 1254630122 Enrollment ID: I20160427000670 |
| Provider Name | George Zappalorta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033556303 PECOS PAC ID: 6608169263 Enrollment ID: I20160720001484 |
| Provider Name | Gary L Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437585429 PECOS PAC ID: 6709170293 Enrollment ID: I20160805001191 |
| Provider Name | Julie K Visk |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1194185819 PECOS PAC ID: 1456648443 Enrollment ID: I20160919001562 |
| Provider Name | Thomasean Britten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1790195386 PECOS PAC ID: 3072730662 Enrollment ID: I20161026002588 |
| Provider Name | Shirlee M Drayton-brooks |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881686665 PECOS PAC ID: 9032438031 Enrollment ID: I20161027000845 |
| Provider Name | Margaret Shepard |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528514080 PECOS PAC ID: 6305124769 Enrollment ID: I20161107000198 |
| Provider Name | Gregory Williams |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1033243779 PECOS PAC ID: 3274812680 Enrollment ID: I20161107002316 |
| Provider Name | Mary L Schweitzer |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1386624955 PECOS PAC ID: 6608155916 Enrollment ID: I20161109000871 |
| Provider Name | Marissa J Patterson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447682075 PECOS PAC ID: 5799003182 Enrollment ID: I20161110002612 |
| Provider Name | Kelly M Jude |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1821392747 PECOS PAC ID: 2769761881 Enrollment ID: I20161114000803 |
| Provider Name | Kareemah C Grossett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1891142683 PECOS PAC ID: 4587944574 Enrollment ID: I20161208001845 |
| Provider Name | Jan Summer Morea |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285937250 PECOS PAC ID: 6901082387 Enrollment ID: I20161227001177 |
| Provider Name | Daniella A Libertino |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396103792 PECOS PAC ID: 7911289582 Enrollment ID: I20170117001808 |
| Provider Name | Cyntrell Crawford |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1710242904 PECOS PAC ID: 0648553321 Enrollment ID: I20170202001685 |
| Provider Name | Jane Back |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265981963 PECOS PAC ID: 1658654371 Enrollment ID: I20170203000171 |
| Provider Name | Emmanuel Yampulu Mukendi |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265753941 PECOS PAC ID: 0648554006 Enrollment ID: I20170302000620 |
| Provider Name | Mari-carmen Farmer |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1629502315 PECOS PAC ID: 6901174929 Enrollment ID: I20170616000089 |
| Provider Name | Kelly M Reid |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1730383290 PECOS PAC ID: 9436423241 Enrollment ID: I20170918002060 |
| Provider Name | Amanda Way Thompson |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1295009470 PECOS PAC ID: 9830464015 Enrollment ID: I20171016000030 |
| Provider Name | Sylvia Maston |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1972829604 PECOS PAC ID: 0648538025 Enrollment ID: I20171212001397 |
| Provider Name | Christopher Verica |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1386736627 PECOS PAC ID: 6709815400 Enrollment ID: I20180201002147 |
| Provider Name | Evelyn Shalon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487164646 PECOS PAC ID: 9032471990 Enrollment ID: I20180313001723 |
| Provider Name | Marsha W Snyder |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1790883163 PECOS PAC ID: 3971881707 Enrollment ID: I20180626002107 |
| Provider Name | Jennifer Davis Cohn |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1124447842 PECOS PAC ID: 6204055171 Enrollment ID: I20180809000095 |
| Provider Name | Quisha Alexander Robertson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1528544335 PECOS PAC ID: 5193079945 Enrollment ID: I20181113003235 |
| Provider Name | Jamie E Trexler |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1619223955 PECOS PAC ID: 9537403605 Enrollment ID: I20181129002264 |
| Provider Name | Patricia Porche |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578939120 PECOS PAC ID: 5092053298 Enrollment ID: I20190213003000 |
| Provider Name | Samantha E Hunsicker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306247143 PECOS PAC ID: 5294061594 Enrollment ID: I20190724002386 |
| Provider Name | Samuel A Sperling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982054995 PECOS PAC ID: 2062748106 Enrollment ID: I20190726000050 |
| Provider Name | Elkins Guzman |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679952451 PECOS PAC ID: 9830525575 Enrollment ID: I20200129000006 |
| Provider Name | Nicole Friedman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275955247 PECOS PAC ID: 3375972334 Enrollment ID: I20200326003596 |
| Provider Name | Emmett Rose Gormley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134625692 PECOS PAC ID: 9335570506 Enrollment ID: I20200504002238 |
| Provider Name | Rachel Volodarsky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639470628 PECOS PAC ID: 3779901699 Enrollment ID: I20200909002321 |
| Provider Name | Kayla M Mcquaid |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245785658 PECOS PAC ID: 7618380379 Enrollment ID: I20210119002744 |
| Provider Name | Peter Fischbeck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194310219 PECOS PAC ID: 9638585045 Enrollment ID: I20210310000954 |
| Provider Name | Alison Bristol |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770117178 PECOS PAC ID: 1456752047 Enrollment ID: I20210702002453 |
| Provider Name | Joy Kenita Anderson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588231047 PECOS PAC ID: 1052715059 Enrollment ID: I20210813000117 |
| Provider Name | Kellie Hixon |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1386191187 PECOS PAC ID: 7214331180 Enrollment ID: I20210814000142 |
| Provider Name | Mina Dinh |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1467929240 PECOS PAC ID: 0042615957 Enrollment ID: I20210816001903 |
| Provider Name | Joana Ruby Callanta Bueno |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578057576 PECOS PAC ID: 0446655393 Enrollment ID: I20210816003540 |
| Provider Name | Sophia Choudhry |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780163550 PECOS PAC ID: 7113324294 Enrollment ID: I20210916003136 |
| Provider Name | Margaret Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306396882 PECOS PAC ID: 4385032846 Enrollment ID: I20211102002694 |
| Provider Name | Julia Ruane |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508229469 PECOS PAC ID: 8729479803 Enrollment ID: I20211228000957 |
| Provider Name | Sara Norouzieh |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134717655 PECOS PAC ID: 3173914264 Enrollment ID: I20211228001412 |
| Provider Name | Melody Ann Piranian |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174060503 PECOS PAC ID: 6103217203 Enrollment ID: I20211228001789 |
| Provider Name | Morgan Sponsler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861016222 PECOS PAC ID: 6002208220 Enrollment ID: I20220121000040 |
| Provider Name | Crystal Yetter |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1306200084 PECOS PAC ID: 4789078478 Enrollment ID: I20220223000128 |
| Provider Name | Tracy Van Der Zwan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295483964 PECOS PAC ID: 9133514417 Enrollment ID: I20220323002118 |
| Provider Name | Khadija Ziyadeh |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871124115 PECOS PAC ID: 7719374834 Enrollment ID: I20220420000536 |
| Provider Name | Grace A Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477271013 PECOS PAC ID: 7416332440 Enrollment ID: I20220912003121 |
| Provider Name | Elisabeth Carpenter |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285203968 PECOS PAC ID: 9234599499 Enrollment ID: I20230719002317 |
| Provider Name | Sanelia Shamonie Wynter Corrodus |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851095863 PECOS PAC ID: 0244680254 Enrollment ID: I20240103000092 |
| Provider Name | Caroline L Rhoads |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1962136416 PECOS PAC ID: 9638520554 Enrollment ID: I20240104003278 |
| Provider Name | John Michael Dronson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1699272344 PECOS PAC ID: 3274986245 Enrollment ID: I20240125002762 |
| Provider Name | Robert B. Schmus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952895088 PECOS PAC ID: 6608211057 Enrollment ID: I20240226002515 |
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Summit Grove Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26 Summit Grove Ave Ste 211, Bryn Mawr, PA 19010 Phone: 484-442-0478 | |
Your Time Online Therapy Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chetwynd Dr Ste 203, Bryn Mawr, PA 19010 Phone: 267-471-2322 | |
Gruenberg & Summers, P.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 950 E Haverford Rd, Suite 302, Bryn Mawr, PA 19010 Phone: 610-527-3201 Fax: 610-527-4628 | |
Main Line Play Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 100 Chetwynd Dr Ste 201, Bryn Mawr, PA 19010 Phone: 267-471-2322 | |
Center For Anxiety & Behavior Therapy Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 940 E Haverford Rd Ste 301, Bryn Mawr, PA 19010 Phone: 610-455-5757 |