| Talk Therapy Potomac Llc | |
|
8800 Harness Trl Potomac MD 20854-2555 | |
| (224) 628-3108 | |
| Not Available |
| Full Name | Talk Therapy Potomac Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8800 Harness Trl, Potomac, Maryland |
| Authorized Official Name and Position | Melissa Susser (PSYCHOTHERAPIST) |
| Authorized Official Contact | 2246283108 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Talk Therapy Potomac Llc 1201 Seven Locks Rd Ste 360 Rockville MD 20854-6901 Ph: (224) 628-3108 | Talk Therapy Potomac Llc 8800 Harness Trl Potomac MD 20854-2555 Ph: (224) 628-3108 |
| NPI Number | 1871356857 |
|---|---|
| Provider Enumeration Date | 02/02/2024 |
| Last Update Date | 02/02/2024 |
| Certification Date | 02/02/2024 |
| Medicare PECOS PAC ID | 4587107487 |
|---|---|
| Medicare Enrollment ID | O20240716000568 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1871356857 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Melissa A Susser |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477091064 PECOS PAC ID: 9830504182 Enrollment ID: I20210218000780 |
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