| Theodora Adedeji, | |
|
1 Research Ct, Rockville, MD 20850-3221 | |
| (301) 259-5359 | |
| (301) 246-6523 |
| Full Name | Theodora Adedeji |
|---|---|
| Gender | Female |
| Speciality | Mental Health Counselor |
| Experience | 27 Years |
| Location | 1 Research Ct, Rockville, 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 |
|---|---|---|---|
| 1437717246 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | PRC13603 (District Of Columbia) | Secondary |
| 101YP2500X | Counselor - Professional | LC3148 (Maryland) | Primary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Cedar Ridge Counseling Centers, Llc | 4981649738 | 41 |
| Entity Name | Cedar Ridge Counseling Centers, Llc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1932103926 PECOS PAC ID: 4981649738 Enrollment ID: O20110628000570 |
| Mailing Address | Practice Location Address |
|---|---|
| Theodora Adedeji, 1 Research Ct Ste 450, Rockville, MD 20850-6252 Ph: (301) 259-5359 | Theodora Adedeji, 1 Research Ct, Rockville, MD 20850-3221 Ph: (301) 259-5359 |
Mr. Jeff Shinal, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Hungerford Dr, Suite 14a, Rockville, MD 20850 Phone: 703-585-1066 Fax: 703-771-4022 | |
Ersilia Bostian, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 50 W Montgomery Ave, Suite 320, Rockville, MD 20850 Phone: 301-678-3385 | |
Ms. Elana Woolf, LCPC Counselor Medicare: Not Enrolled in Medicare Practice Location: 966 Hungerford Dr # 7a, Rockville, MD 20850 Phone: 202-686-5834 | |
Mrs. Patricia Gillen Doane, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 9807 Veirs Dr Apt 301, Rockville, MD 20850 Phone: 240-464-8294 Fax: 301-983-1953 | |
Denine Rachelle Bowman, PHD Counselor Medicare: Not Enrolled in Medicare Practice Location: 20 Courthouse Sq, Suite 202, Rockville, MD 20850 Phone: 301-424-6955 | |
Ms. Stacey Ann Rowcliffe, LCPC Counselor Medicare: Accepting Medicare Assignments Practice Location: 100 1st St Apt 425, Rockville, MD 20851 Phone: 406-671-4270 | |
Mr. Freydun Fred Goudarznia, MA LCPC Counselor Medicare: Medicare Enrolled Practice Location: 932 Hungerford Dr, Rockville, MD 20850 Phone: 240-393-6720 |