| Kelly Michele Maher, LCPC | |
|
40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 | |
| (410) 220-0720 | |
| (410) 862-0150 |
| Full Name | Kelly Michele Maher |
|---|---|
| Gender | Female |
| Speciality | Counselor - Professional |
| Location | 40 S Dundalk Ave Ste 400, Dundalk, Maryland |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1477903714 | NPI | - | NPPES |
| 504204600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | LC7146 (Maryland) | Primary |
| Entity Name | Matclinic Physicians Practice Group Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1104375294 PECOS PAC ID: 3274804349 Enrollment ID: O20170808001490 |
| Mailing Address | Practice Location Address |
|---|---|
| Kelly Michele Maher, LCPC 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 Ph: (410) 220-0720 | Kelly Michele Maher, LCPC 40 S Dundalk Ave Ste 400, Dundalk, MD 21222-4273 Ph: (410) 220-0720 |
Earl Wesley Ridgell Jr., MA, MS, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 7800 Wise Ave Ste 203, Dundalk, MD 21222 Phone: 410-999-4886 | |
Danielle Strobeck, LMSW Counselor Medicare: Not Enrolled in Medicare Practice Location: 7811 Wise Ave, Dundalk, MD 21222 Phone: 443-530-6533 | |
Corrine Wilkinson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 1576 Merritt Blvd Ste 8, Dundalk, MD 21222 Phone: 443-530-6533 | |
Jessica Ferenz, LGPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 1420 Merritt Blvd Ste B, Dundalk, MD 21222 Phone: 410-698-8443 | |
Shelby Kiah Walker, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 2 N Dundalk Ave, Dundalk, MD 21222 Phone: 667-600-3680 | |
Tonisha Patterson, Counselor Medicare: Not Enrolled in Medicare Practice Location: 7038 Belclare Rd, Dundalk, MD 21222 Phone: 443-622-5533 | |
Chandra Hassan, CSC-AD Counselor Medicare: Not Enrolled in Medicare Practice Location: 40 S Dundalk Ave, Dundalk, MD 21222 Phone: 410-285-8157 Fax: 410-285-8298 |