| Safe Harbor Community Services | |
|
2227 Old Emmorton Rd Ste 115 Bel Air MD 21015-6190 | |
| (410) 995-8973 | |
| Not Available |
| Full Name | Safe Harbor Community Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2227 Old Emmorton Rd Ste 115, Bel Air, Maryland |
| Authorized Official Name and Position | Pamela J Llewellyn (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4109958973 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Community Services 1208 E Churchville Rd Ste 300 Bel Air MD 21014-3485 Ph: () - | Safe Harbor Community Services 2227 Old Emmorton Rd Ste 115 Bel Air MD 21015-6190 Ph: (410) 995-8973 |
| NPI Number | 1184209447 |
|---|---|
| Provider Enumeration Date | 03/17/2021 |
| Last Update Date | 04/24/2021 |
| Certification Date | 04/24/2021 |
| Medicare PECOS PAC ID | 3870902364 |
|---|---|
| Medicare Enrollment ID | O20210513001336 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184209447 | NPI | - | NPPES |
| Provider Name | Robert Ciaverelli |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689681983 PECOS PAC ID: 3577514983 Enrollment ID: I20050202001005 |
| Provider Name | Wendy E Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548283666 PECOS PAC ID: 5698868370 Enrollment ID: I20070911000820 |
| Provider Name | Lisa M Swords |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609177658 PECOS PAC ID: 2769665876 Enrollment ID: I20110328000607 |
| Provider Name | Pamela J Llewellyn |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619230539 PECOS PAC ID: 4385947654 Enrollment ID: I20160120000889 |
| Provider Name | Jannie L Doh-lao |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134554769 PECOS PAC ID: 0143451013 Enrollment ID: I20171010003417 |
| Provider Name | Samantha Cohose |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326515974 PECOS PAC ID: 3971847922 Enrollment ID: I20181203002473 |
| Provider Name | Kaitlan Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003380643 PECOS PAC ID: 6800209339 Enrollment ID: I20201230001491 |
| Provider Name | Kamiylah Abdul Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003403031 PECOS PAC ID: 4880003094 Enrollment ID: I20210429000223 |
| Provider Name | Erin P Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730805458 PECOS PAC ID: 9830566819 Enrollment ID: I20221103001847 |
| Provider Name | Jonathan Decarlo |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548731995 PECOS PAC ID: 7012389497 Enrollment ID: I20230213000421 |
| Provider Name | Yetunde Oloto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1881394773 PECOS PAC ID: 9133587983 Enrollment ID: I20230627000227 |
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