| Evelin A Perry, MSW, LCSW-C | |
|
16701 Melford Blvd Ste 400, Bowie, MD 20715-4411 | |
| (415) 424-4266 | |
| (415) 520-6633 |
| Full Name | Evelin A Perry |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 16701 Melford Blvd Ste 400, Bowie, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023799897 | NPI | - | NPPES |
| 768919500 | Medicaid | MD | |
| 30017649470001 | Medicaid | VA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 0904015606 (Virginia) | Secondary |
| 1041C0700X | Social Worker - Clinical | 26532 (Maryland) | Primary |
| Entity Name | Brightside Medical Pc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1801355482 PECOS PAC ID: 6608262464 Enrollment ID: O20230526001102 |
| Mailing Address | Practice Location Address |
|---|---|
| Evelin A Perry, MSW, LCSW-C 8300 Esters Blvd Ste 900, Irving, TX 75063-2233 Ph: (415) 424-4266 | Evelin A Perry, MSW, LCSW-C 16701 Melford Blvd Ste 400, Bowie, MD 20715-4411 Ph: (415) 424-4266 |
Michael King Jr., LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 612 Stillwater Pl, Bowie, MD 20721 Phone: 240-893-3739 | |
Nicole S Wright, MSW, LICSW, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12210 Maycheck Ln, Bowie, MD 20715 Phone: 202-236-3160 | |
Alyssa Robin Krieger, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 12021 Quarum Pl, Bowie, MD 20720 Phone: 240-486-6077 | |
Catherine Robinson, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15480 Annapolis Rd, Bowie, MD 20715 Phone: 240-353-3492 | |
Ms. Rianna Berkeley, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10236 Lake Arbor Way, Bowie, MD 20721 Phone: 240-681-9653 | |
Tameka Thompson, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 15480 Annapolis Rd Ste 202-148, Bowie, MD 20715 Phone: 240-350-8597 |