| Kimberly Fogle, | |
|
314 Franklin Ave Ste 306, Berlin, MD 21811-1238 | |
| (410) 973-2525 | |
| Not Available |
| Full Name | Kimberly Fogle |
|---|---|
| Gender | Female |
| Speciality | Social Worker - Clinical |
| Location | 314 Franklin Ave Ste 306, Berlin, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1427533066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 107941 (Massachusetts) | Primary |
| Entity Name | Seaside Counseling & Wellness Center, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1780935239 PECOS PAC ID: 2961648142 Enrollment ID: O20130412000261 |
| Mailing Address | Practice Location Address |
|---|---|
| Kimberly Fogle, 314 Franklin Ave Ste 306, Berlin, MD 21811-1238 Ph: (410) 973-2525 | Kimberly Fogle, 314 Franklin Ave Ste 306, Berlin, MD 21811-1238 Ph: (410) 973-2525 |
Mrs. Chelsea Nicole Corbett, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 9958 N. Main Street, Berlin, MD 21811 Phone: 410-973-2820 Fax: 410-973-2843 | |
Mrs. Christina Maria Batze, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 Fax: 410-629-0185 | |
Mrs. Jacquelyn Nicole Hirsch, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 124 N Main St Ste C, Berlin, MD 21811 Phone: 410-219-5483 Fax: 410-219-5486 | |
Tyler Betz, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 6 Grace St, Berlin, MD 21811 Phone: 410-713-1723 | |
Emily Goodchild, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9714 Healthway Dr, Berlin, MD 21811 Phone: 410-641-3340 | |
Julie Kelley Rayne, LCSW-C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 9730 Healthway Dr, Berlin, MD 21811 Phone: 410-629-0164 | |
Mrs. Mary E Kaul-black, LCSW C Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 314 Franklin Ave, Suite 306, Berlin, MD 21811 Phone: 410-973-2525 Fax: 410-973-2527 |