| The Transition Care Network Llc | |
|
6041 Otterbein Ln Apt 408 Ellicott City MD 21043-7599 | |
| (443) 465-1901 | |
| Not Available |
| Full Name | The Transition Care Network Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 6041 Otterbein Ln Apt 408, Ellicott City, Maryland |
| Authorized Official Name and Position | Shontel Gaskin (DIRECTOR) |
| Authorized Official Contact | 4434651901 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Transition Care Network Llc 6041 Otterbein Ln Apt 408 Ellicott City MD 21043-7599 Ph: (443) 465-1901 | The Transition Care Network Llc 6041 Otterbein Ln Apt 408 Ellicott City MD 21043-7599 Ph: (443) 465-1901 |
| NPI Number | 1861271009 |
|---|---|
| Provider Enumeration Date | 09/26/2023 |
| Last Update Date | 12/21/2023 |
| Certification Date | 12/21/2023 |
| Medicare PECOS PAC ID | 4082064480 |
|---|---|
| Medicare Enrollment ID | O20231227003016 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861271009 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Shontel M Gaskin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942828082 PECOS PAC ID: 3072920099 Enrollment ID: I20210318000949 |
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