| Chanelle Born, | |
|
135 N Parke St, Aberdeen, MD 21001-2428 | |
| (443) 625-1600 | |
| Not Available |
| Full Name | Chanelle Born |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 135 N Parke St, Aberdeen, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1659967651 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 26465 (Maryland) | Primary |
| Entity Name | Harford Crisis Center Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1508334459 PECOS PAC ID: 6002726007 Enrollment ID: O20190424000345 |
| Entity Name | Medstar Health Weight Management, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1013785971 PECOS PAC ID: 0840634267 Enrollment ID: O20240214000031 |
| Mailing Address | Practice Location Address |
|---|---|
| Chanelle Born, 135 N Parke St, Aberdeen, MD 21001-2428 Ph: (443) 625-1600 | Chanelle Born, 135 N Parke St, Aberdeen, MD 21001-2428 Ph: (443) 625-1600 |
Ms. Robin Nicole Clay, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Dr. Teddy Ray Fraker, LCSW-C, PH.D Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Ms. Kristin R Mislak, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 1040 Hardees Dr Ste F, Aberdeen, MD 21001 Phone: 410-273-1399 Fax: 410-273-2085 | |
Eric Crosby, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Ms. Alysse Joseph, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 474 Bonnett St Apt B, Aberdeen, MD 21001 Phone: 301-615-0784 | |
Cecilia Mae Ruane, LGSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 | |
Ms. Brittany A. Stegman, LGSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 135 N Parke St, Aberdeen, MD 21001 Phone: 443-625-1600 |