Well-being In Practice Llc | |
3707 Mohawk Ave Baltimore MD 21207-7668 | |
(443) 438-1011 | |
Not Available |
Full Name | Well-being In Practice Llc |
---|---|
Speciality | Social Worker |
Location | 3707 Mohawk Ave, Baltimore, Maryland |
Authorized Official Name and Position | Carmella Long (OWNER) |
Authorized Official Contact | 4434381011 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Well-being In Practice Llc 3707 Mohawk Ave Baltimore MD 21207-7668 Ph: () - | Well-being In Practice Llc 3707 Mohawk Ave Baltimore MD 21207-7668 Ph: (443) 438-1011 |
NPI Number | 1023781838 |
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Provider Enumeration Date | 07/28/2021 |
Last Update Date | 07/28/2021 |
Certification Date | 07/28/2021 |
Medicare PECOS PAC ID | 1052719374 |
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Medicare Enrollment ID | O20211018000328 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023781838 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
Provider Name | Carmella Long |
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Provider Type | Practitioner - Clinical Social Worker |
Provider Identifiers | NPI Number: 1245537679 PECOS PAC ID: 2961800289 Enrollment ID: I20211018000382 |
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