| Amy Dawn Hedderman, MSW, LCSW-C | |
|
11679 Emerald Green Dr, Clarksburg, MD 20871-5337 | |
| (301) 704-3598 | |
| Not Available |
| Full Name | Amy Dawn Hedderman |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 18 Years |
| Location | 11679 Emerald Green Dr, Clarksburg, Maryland |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689953994 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 16905 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | LC50078945 (District Of Columbia) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Lifespan Behavioral Health Services Pc | 4082041637 | 28 |
| Lifespan Behavioral Health Services Pc | 4082041637 | 28 |
| Entity Name | Hefuna Mental Health Wellness Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1629470547 PECOS PAC ID: 3577783240 Enrollment ID: O20141002000365 |
| Entity Name | Lifespan Behavioral Health Services Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1881233872 PECOS PAC ID: 4082041637 Enrollment ID: O20200221000871 |
| Mailing Address | Practice Location Address |
|---|---|
| Amy Dawn Hedderman, MSW, LCSW-C 11679 Emerald Green Dr, Clarksburg, MD 20871-5337 Ph: (301) 704-3598 | Amy Dawn Hedderman, MSW, LCSW-C 11679 Emerald Green Dr, Clarksburg, MD 20871-5337 Ph: (301) 704-3598 |
Mr. Joseph Peter Wilson, L.C.S.W.-C. Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23316 Bent Arrow Dr, Clarksburg, MD 20871 Phone: 301-540-5478 Fax: 301-540-5489 | |
Maxine Marshall, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13717 Petrel St, Clarksburg, MD 20871 Phone: 240-356-3966 | |
Claudia Choque, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 23330 Frederick Rd, Clarksburg, MD 20871 Phone: 240-489-1365 | |
Mrs. Patricia J. Tucker, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 21925 Frederick Rd, Clarksburg, MD 20871 Phone: 301-439-7191 Fax: 301-439-1169 | |
Latascha Patrice Washington, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12109 Pond Pine Dr, Clarksburg, MD 20871 Phone: 253-448-7036 | |
Dr. Anthony Lee Johnson, PHD, LCSW, BCD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 13058 Clarksburg Square Rd, Clarksburg, MD 20871 Phone: 469-831-4603 |