| Arnecia Moody, | |
|
1706 Palmetto Dr, Mitchellville, MD 20721-3718 | |
| (301) 883-9116 | |
| Not Available |
| Full Name | Arnecia Moody |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 1706 Palmetto Dr, Mitchellville, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306251939 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17865 (Maryland) | Primary |
| Entity Name | Kaiser Foundation Health Plan Of The Mid Atlantic States, Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952461816 PECOS PAC ID: 3779495858 Enrollment ID: O20040105000308 |
| Entity Name | Interdynamics Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1952570343 PECOS PAC ID: 2860670213 Enrollment ID: O20110707000233 |
| Mailing Address | Practice Location Address |
|---|---|
| Arnecia Moody, 1706 Palmetto Dr, Mitchellville, MD 20721-3718 Ph: (301) 883-9116 | Arnecia Moody, 1706 Palmetto Dr, Mitchellville, MD 20721-3718 Ph: (301) 883-9116 |
Audra N Gillis, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 1701 Enterprise Rd, Mitchellville, MD 20721 Phone: 301-442-1990 Fax: 301-627-1806 | |
Ms. Lesley Ann Ellis, LICSW Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 12138 Central Avenue, #662, Mitchellville, MD 20721 Phone: 301-336-3242 |