The Arc Of The Central Chesapeake Region, Inc. | |
999 Corporate Blvd Ste 300 Linthicum MD 21090-2271 | |
(410) 269-1883 | |
Not Available |
Full Name | The Arc Of The Central Chesapeake Region, Inc. |
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Speciality | Community/Behavioral Health |
Location | 999 Corporate Blvd Ste 300, Linthicum, Maryland |
Authorized Official Name and Position | Jonathon Rondeau (PRESIDENT & CEO) |
Authorized Official Contact | 4103844035 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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The Arc Of The Central Chesapeake Region, Inc. 999 Corporate Blvd Ste 300 Linthicum MD 21090-2271 Ph: (410) 269-1883 | The Arc Of The Central Chesapeake Region, Inc. 999 Corporate Blvd Ste 300 Linthicum MD 21090-2271 Ph: (410) 269-1883 |
NPI Number | 1215515341 |
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Provider Enumeration Date | 03/30/2021 |
Last Update Date | 01/25/2024 |
Certification Date | 01/25/2024 |
Medicare PECOS PAC ID | 4880097534 |
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Medicare Enrollment ID | O20210720000113 |
Identifier | Type | State | Issuer |
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1215515341 | NPI | - | NPPES |
156442100 | Medicaid | MD |
Taxonomy | Type | License (State) | Status |
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251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
Provider Name | Carrie L O Connor |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1699217646 PECOS PAC ID: 2769897776 Enrollment ID: I20210224000844 |
Provider Name | Elisabeth Turner |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1326613621 PECOS PAC ID: 6103225909 Enrollment ID: I20210527002092 |
Provider Name | Tracy Chanel Matthews |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1801456272 PECOS PAC ID: 4880080522 Enrollment ID: I20220406001923 |
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