| Mrs Patricia J Balducci, LCSWC | |
|
29787 John J Williams Hwy Unit 8, Millsboro, DE 19966-4097 | |
| (800) 818-8680 | |
| (800) 818-8680 |
| Full Name | Mrs Patricia J Balducci |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 47 Years |
| Location | 29787 John J Williams Hwy Unit 8, Millsboro, Delaware |
| 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 |
|---|---|---|---|
| 1558421909 | NPI | - | NPPES |
| KC83K1 | Other | MD | BLUE CROSS BLUE SHIELD |
| 100026715001 | Other | MD | APS |
| T460 | Other | MD | BLUE CHOICE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 03640 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | Q1-0001330 (Delaware) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Premier Wellness Healthcare | 1052688389 | 6 |
| Entity Name | Premier Wellness Healthcare |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1376087635 PECOS PAC ID: 1052688389 Enrollment ID: O20170517000801 |
| Mailing Address | Practice Location Address |
|---|---|
| Mrs Patricia J Balducci, LCSWC Po Box 99, Conowingo, MD 21918-0099 Ph: (410) 378-9696 | Mrs Patricia J Balducci, LCSWC 29787 John J Williams Hwy Unit 8, Millsboro, DE 19966-4097 Ph: (800) 818-8680 |
Keina Tirrell, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 29611 Sawyer Loop, Millsboro, DE 19966 Phone: 302-858-3835 | |
Rocky A Polite, LCSW, MED Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 26201 School Ln, Millsboro, DE 19966 Phone: 302-236-0175 | |
Ms. Rosa C Barnes, LCSW, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: # 6 Chelsea Square, Millsboro, DE 19966 Phone: 302-934-7807 Fax: 302-934-5641 | |
Batya Hyman, MSW. PHD Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 31161 Riverwood Rd, Millsboro, DE 19966 Phone: 302-945-3418 | |
Amy Diane Habeger, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 117 Main St Unit 1, Millsboro, DE 19966 Phone: 410-251-9162 | |
Theresa Vial, LCSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 24915 Rivers Edge Rd, Millsboro, DE 19966 Phone: 302-750-1070 |