| West Psychotherapy Services Llc | |
|
7700 Old Branch Ave Ste B105 Clinton MD 20735-1628 | |
| (301) 512-0445 | |
| Not Available |
| Full Name | West Psychotherapy Services Llc |
|---|---|
| Speciality | Social Worker |
| Location | 7700 Old Branch Ave Ste B105, Clinton, Maryland |
| Authorized Official Name and Position | Sheila Anne West (OWNER) |
| Authorized Official Contact | 3015120445 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Psychotherapy Services Llc 7700 Old Branch Ave Ste B105 Clinton MD 20735-1628 Ph: (301) 512-0445 | West Psychotherapy Services Llc 7700 Old Branch Ave Ste B105 Clinton MD 20735-1628 Ph: (301) 512-0445 |
| NPI Number | 1326228719 |
|---|---|
| Provider Enumeration Date | 11/14/2007 |
| Last Update Date | 01/23/2008 |
| Medicare PECOS PAC ID | 2567536519 |
|---|---|
| Medicare Enrollment ID | O20080808000435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326228719 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 03608 (Maryland) | Primary |
| Provider Name | Sheila A West |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730125212 PECOS PAC ID: 7810967130 Enrollment ID: I20080808000405 |
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