Mr Carmen Dominick Dematteo Jr, LCSW-C CAC-AD is a
Social Worker - Clinical based in Baltimore, Maryland. Mr Carmen Dominick Dematteo Jr is licensed to practice in Maryland (license number 14445) and his current practice location is
421 Fallsway, Baltimore, Maryland. He can be reached at his office (for appointments etc.) via phone at
(443) 703-1139.
NPI number for Mr Carmen Dominick Dematteo Jr is 1881027878 and his current mailing address is 421 Fallsway, Baltimore, Maryland. He
does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1881027878.
Healthcare Provider's Profile
| Full Name | Mr Carmen Dominick Dematteo Jr |
|---|
| Gender | Male |
|---|
| Speciality | Social Worker - Clinical |
|---|
| Location | 421 Fallsway, Baltimore, Maryland |
|---|
| Accepts Medicare Assignments | Does not participate in Medicare Program. He may not accept medicare assignment. |
NPI Data:
- NPI Number: 1881027878
- Provider Enumeration Date: 08/14/2013
- Last Update Date: 08/14/2013
Medical Identifiers
Medical identifiers for Mr Carmen Dominick Dematteo Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
| Identifier | Type | State | Issuer |
| 1881027878 | NPI | - | NPPES |
Medical Taxonomies and Licenses
| Taxonomy | Type | License (State) | Status |
| 101YA0400X | Counselor - Addiction (substance Use Disorder) | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | 14445 (Maryland) | Primary |
Medicare Part D Prescriber Enrollment
Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Mr Carmen Dominick Dematteo Jr is
NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.
Mailing Address and Practice Location
| Mailing Address | Practice Location Address |
Mr Carmen Dominick Dematteo Jr, LCSW-C CAC-AD 421 Fallsway, Baltimore, MD 21202-4800 Ph: (443) 703-1139 | Mr Carmen Dominick Dematteo Jr, LCSW-C CAC-AD 421 Fallsway, Baltimore, MD 21202-4800 Ph: (443) 703-1139 |
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