| Beth Katz Lcsw-c, LLC | |
|
1205 York Rd Ste 21 Timonium MD 21093-6211 | |
| (410) 371-2728 | |
| (410) 296-7631 |
| Full Name | Beth Katz Lcsw-c, LLC |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 1205 York Rd Ste 21, Timonium, Maryland |
| Authorized Official Name and Position | Beth M Katz (OWNER) |
| Authorized Official Contact | 4103712728 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Beth Katz Lcsw-c, LLC 1205 York Rd Ste 21 Timonium MD 21093-6211 Ph: (410) 371-2728 | Beth Katz Lcsw-c, LLC 1205 York Rd Ste 21 Timonium MD 21093-6211 Ph: (410) 371-2728 |
| NPI Number | 1285135558 |
|---|---|
| Provider Enumeration Date | 02/22/2018 |
| Last Update Date | 03/25/2022 |
| Certification Date | 03/25/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285135558 | NPI | - | NPPES |
| 160798 | Other | MD | BEACON HEALTH OPTIONS ID NUMBER |
| 145019101 | Medicaid | MD | |
| CB91 | Other | MD | BLUE CROSS BLUE SHIELD ID NUMBER |
| 5200504001 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| 261QM0801X | Clinic/center - Mental Health (including Community Mental Health Center) | 10248 (Maryland) | Secondary |
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