| Worcester Youth And Family Counseling Services, Inc. | |
|
124 N Main St Ste C Berlin MD 21811-1062 | |
| (410) 641-4598 | |
| (410) 641-4696 |
| Full Name | Worcester Youth And Family Counseling Services, Inc. |
|---|---|
| Speciality | Counselor |
| Location | 124 N Main St Ste C, Berlin, Maryland |
| Authorized Official Name and Position | Steve Taylor (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 4106414598 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Worcester Youth And Family Counseling Services, Inc. 124 N Main St Ste C Berlin MD 21811-1062 Ph: (410) 641-4598 | Worcester Youth And Family Counseling Services, Inc. 124 N Main St Ste C Berlin MD 21811-1062 Ph: (410) 641-4598 |
| NPI Number | 1043254824 |
|---|---|
| Provider Enumeration Date | 06/15/2006 |
| Last Update Date | 03/19/2019 |
| Medicare PECOS PAC ID | 0143266379 |
|---|---|
| Medicare Enrollment ID | O20050628001170 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043254824 | NPI | - | NPPES |
| 735579000 | Other | MD | MAGELLAN |
| G934-0000 | Other | MD | NCA CAREFIRST BCBS |
| 415786900 | Medicaid | MD | |
| KK62-WO | Other | MD | MD CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Primary |
| Provider Name | Walter W Sawyer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265869101 PECOS PAC ID: 8224341474 Enrollment ID: I20150717000885 |
| Provider Name | Jacquelyn N Pisani |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144605593 PECOS PAC ID: 5597023663 Enrollment ID: I20171219000263 |
| Provider Name | Donald Carroll |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1831763002 PECOS PAC ID: 7214388487 Enrollment ID: I20240111004368 |
| Provider Name | Caryn M Horn |
|---|---|
| Provider Type | Practitioner - Marriage And Family Therapist |
| Provider Identifiers | NPI Number: 1780007120 PECOS PAC ID: 8123470002 Enrollment ID: I20240116003170 |
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