| Arundel Lodge, Inc. | |
|
2600 Solomons Island Rd Edgewater MD 21037-1102 | |
| (443) 433-5900 | |
| (410) 841-6045 |
| Full Name | Arundel Lodge, Inc. |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 2600 Solomons Island Rd, Edgewater, Maryland |
| Authorized Official Name and Position | Kerry Lowry (BILLING SUPERVISOR) |
| Authorized Official Contact | 4434335929 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Arundel Lodge, Inc. 2600 Solomons Island Rd Edgewater MD 21037-1102 Ph: (443) 433-5900 | Arundel Lodge, Inc. 2600 Solomons Island Rd Edgewater MD 21037-1102 Ph: (443) 433-5900 |
| NPI Number | 1225213507 |
|---|---|
| Provider Enumeration Date | 01/04/2008 |
| Last Update Date | 10/13/2025 |
| Certification Date | 10/13/2025 |
| Medicare PECOS PAC ID | 8123197050 |
|---|---|
| Medicare Enrollment ID | O20080519000639 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1225213507 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
| Provider Name | Enrique Olivares |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1053309674 PECOS PAC ID: 2769460856 Enrollment ID: I20040713001682 |
| Provider Name | Marjorie A Deck |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336242742 PECOS PAC ID: 5799786182 Enrollment ID: I20070129000119 |
| Provider Name | Paul A. Gianakon |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1578698486 PECOS PAC ID: 4183784887 Enrollment ID: I20081126000228 |
| Provider Name | Robert Allen-emerson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659688141 PECOS PAC ID: 9830368752 Enrollment ID: I20110811000062 |
| Provider Name | Maureen C Steele |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437304326 PECOS PAC ID: 4183786411 Enrollment ID: I20130820000186 |
| Provider Name | Lateshia Jackson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063840262 PECOS PAC ID: 5799916011 Enrollment ID: I20140328001405 |
| Provider Name | Ana Maria A Phillips |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366899783 PECOS PAC ID: 5395002984 Enrollment ID: I20171207000765 |
| Provider Name | Francisca Nkem Okwukogu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1962055723 PECOS PAC ID: 3173955606 Enrollment ID: I20191121000317 |
| Provider Name | Esther Chikwe-onyejekwe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265084644 PECOS PAC ID: 7416386883 Enrollment ID: I20200406002466 |
| Provider Name | Chelsea Hart |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841837440 PECOS PAC ID: 9032525795 Enrollment ID: I20210304002010 |
| Provider Name | Amber M Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1144870775 PECOS PAC ID: 5294128765 Enrollment ID: I20220204000527 |
| Provider Name | Jatoria Fair |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750095634 PECOS PAC ID: 3779955471 Enrollment ID: I20230206002669 |
| Provider Name | Julie A Seaman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548936917 PECOS PAC ID: 5597113373 Enrollment ID: I20231205001344 |
| Provider Name | Candace Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1457061525 PECOS PAC ID: 9436508868 Enrollment ID: I20231212000117 |
| Provider Name | Melanie Joyce Coates |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1598220147 PECOS PAC ID: 7214371376 Enrollment ID: I20240216000095 |
| Provider Name | Bronte Nichole Vaughn |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1154804078 PECOS PAC ID: 3870037807 Enrollment ID: I20240702001081 |
| Provider Name | Veronica Castillo |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1649739269 PECOS PAC ID: 2567907868 Enrollment ID: I20240711000046 |
| Provider Name | Vivian Craft |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780443887 PECOS PAC ID: 0446794390 Enrollment ID: I20240808002120 |
| Provider Name | Tiffany N Cruz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104353358 PECOS PAC ID: 2860931565 Enrollment ID: I20240826003879 |
| Provider Name | Jessica Stallings |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508694225 PECOS PAC ID: 7719415637 Enrollment ID: I20250106002856 |
| Provider Name | Marybeth G Moskovitz |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1922438357 PECOS PAC ID: 4284167057 Enrollment ID: I20250128001523 |
| Provider Name | Bryonna Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1265175202 PECOS PAC ID: 0446605380 Enrollment ID: I20250328001392 |
United Church Of Christ Of Annapolis/cornerstone Counseling Ctr. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 8 Carvel Cir, Edgewater, MD 21037 Phone: 410-266-8596 Fax: 410-266-9740 | |
Safe Haven Counseling & Therapy Center Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 3427 Pike Ridge Rd Ste 102, Edgewater, MD 21037 Phone: 301-615-4510 | |
Arundel Lodge, Inc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2600 Solomons Island Rd, Edgewater, MD 21037 Phone: 443-433-5900 Fax: 410-841-6045 | |
Andrew T. Gergely, M.d.,l.c.c. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 137 Mitchells Chance Rd, 260, Edgewater, MD 21037 Phone: 410-956-5300 Fax: 410-956-5301 | |
Collective Transformation Health Services Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1642 Shady Side Dr., Edgewater, MD 21037 Phone: 410-401-3621 | |
Healthy Hearts & Minds Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 3601 Fontron Dr, Edgewater, MD 21037 Phone: 443-420-2826 |