| Sidney Maduforo, | |
|
8200 Good Luck Rd, Lanham, MD 20706-3511 | |
| (301) 623-4352 | |
| (301) 623-4351 |
| Full Name | Sidney Maduforo |
|---|---|
| Gender | Male |
| Speciality | Clinical Social Worker |
| Experience | 9 Years |
| Location | 8200 Good Luck Rd, Lanham, Maryland |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528679941 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Luminis Health Medical Group, Llc | 2860447315 | 540 |
| Entity Name | Luminis Health Medical Group, LLC |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1649248485 PECOS PAC ID: 2860447315 Enrollment ID: O20080707000490 |
| Entity Name | P&a Health Services Limited Liability Company |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1003316407 PECOS PAC ID: 6507395761 Enrollment ID: O20250203000834 |
| Mailing Address | Practice Location Address |
|---|---|
| Sidney Maduforo, 1664 Midnight Sun Dr, Beaumont, CA 92223-8443 Ph: Not Available | Sidney Maduforo, 8200 Good Luck Rd, Lanham, MD 20706-3511 Ph: (301) 623-4352 |
Laportia Shinese Jackson, LMSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7700 Harkins Rd Apt 3038, Lanham, MD 20706 Phone: 704-222-3951 |
Antionette Parks, MSW Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 9332 Annapolis Rd, Suite # 217, Lanham, MD 20706 Phone: 240-505-3149 |
Ms. Deitra E. Bryant-mallory, LICSW, LCSW-C Clinical Social Worker Medicare: Medicare Enrolled Practice Location: 10001 Derekwood Ln Ste 120, Lanham, MD 20706 Phone: 301-306-4590 |
Amy Holden, LCSW Clinical Social Worker Medicare: Accepting Medicare Assignments Practice Location: 7901 Annapolis Rd, Lanham, MD 20706 Phone: 240-906-4573 Fax: 301-560-8505 |
Stephanie Jaime-luna, Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 4500 Forbes Blvd Ste 200, Lanham, MD 20706 Phone: 410-469-8684 |
Ms. Aimee Elizabeth Williams, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 10123 Senate Dr, Lanham, MD 20706 Phone: 301-459-9840 |
Alexis Nicole Bell, LCSW-C Clinical Social Worker Medicare: Not Enrolled in Medicare Practice Location: 7404 Executive Pl Ste 400, #1020, Lanham, MD 20706 Phone: 301-778-4876 |