| The Stone Foundation, Llc | |
|
1055 Taylor Ave Suite 205 Towson MD 21286-8317 | |
| (410) 296-2004 | |
| (410) 296-0094 |
| Full Name | The Stone Foundation, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1055 Taylor Ave, Towson, Maryland |
| Authorized Official Name and Position | Samara Stone (CEO) |
| Authorized Official Contact | 4102962004 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Stone Foundation, Llc 1055 Taylor Ave Suite 205 Towson MD 21286-8317 Ph: (410) 296-2004 | The Stone Foundation, Llc 1055 Taylor Ave Suite 205 Towson MD 21286-8317 Ph: (410) 296-2004 |
| NPI Number | 1245453919 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 2466484589 |
|---|---|
| Medicare Enrollment ID | O20050908001134 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1245453919 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Jessica T Fauntleroy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255840609 PECOS PAC ID: 6103185970 Enrollment ID: I20180124001886 |
| Provider Name | Tia Blue |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720522733 PECOS PAC ID: 2668732942 Enrollment ID: I20180206000693 |
| Provider Name | Deana Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508303686 PECOS PAC ID: 3375803661 Enrollment ID: I20180206000884 |
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