| Carla Denise Eichenmiller, LCSW-C | |
|
100 E Carroll St, Salisbury, MD 21801-5493 | |
| (800) 749-5191 | |
| Not Available |
| Full Name | Carla Denise Eichenmiller |
|---|---|
| Gender | Female |
| Speciality | Clinical Social Worker |
| Experience | 30 Years |
| Location | 100 E Carroll St, Salisbury, Maryland |
| 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 |
|---|---|---|---|
| 1841360310 | NPI | - | NPPES |
| 609550004 | Medicaid | MD | |
| 609550001 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101Y00000X | Counselor | 10060 (Maryland) | Primary |
| 1041C0700X | Social Worker - Clinical | 10060 (Maryland) | Secondary |
| 1041C0700X | Social Worker - Clinical | (Maryland) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Evolve Mental Wellness | 6608266846 | 21 |
| Entity Name | Evolve Mental Wellness |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1912597857 PECOS PAC ID: 6608266846 Enrollment ID: O20211202001909 |
| Mailing Address | Practice Location Address |
|---|---|
| Carla Denise Eichenmiller, LCSW-C 100 E. Carroll Street, Salisbury, MD 21801-0249 Ph: (410) 543-7119 | Carla Denise Eichenmiller, LCSW-C 100 E Carroll St, Salisbury, MD 21801-5493 Ph: (800) 749-5191 |
Claiborne Beth Ohlsson, CSC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1001 Lake St, Center 4 Clean Start, Salisbury, MD 21801 Phone: 410-742-3460 Fax: 410-742-5810 |
Mrs. Lela Gwendolyn Simon, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 |
Ashley Shephard, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 6508 Deer Pointe Dr Ste 4c, Salisbury, MD 21804 Phone: 410-742-6016 Fax: 410-742-6014 |
Mrs. Nina Mary Thompson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 2336 Goddard Parkway, Salisbury, MD 21801 Phone: 410-334-6961 Fax: 410-334-6960 |
Katelyn Marie Burke, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1113 Healthway Dr, Salisbury, MD 21804 Phone: 410-334-6961 |
Jessica Pruitt, LCSW-C Counselor Medicare: Not Enrolled in Medicare Practice Location: 411 Naylor Mill Rd, Salisbury, MD 21801 Phone: 410-548-4850 Fax: 410-548-4929 |
Elizabeth Mitchell Jester, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 6974 Brantley Drive, Salisbury, MD 21804 Phone: 443-397-0030 |