| Center for Well Being | |
|
405 Frederick Rd Suite 263 Baltimore MD 21228-4647 | |
| (410) 744-2066 | |
| Not Available |
| Full Name | Center for Well Being |
|---|---|
| Speciality | Social Worker |
| Location | 405 Frederick Rd, Baltimore, Maryland |
| Authorized Official Name and Position | Susan a Johns (DIRECTOR AND CLINICAL SOCIAL WORKER) |
| Authorized Official Contact | 4107442066 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Center for Well Being 405 Frederick Rd Suite 263 Baltimore MD 21228-4647 Ph: (410) 744-2066 | Center for Well Being 405 Frederick Rd Suite 263 Baltimore MD 21228-4647 Ph: (410) 744-2066 |
| NPI Number | 1942253877 |
|---|---|
| Provider Enumeration Date | 05/19/2006 |
| Last Update Date | 09/30/2011 |
| Medicare PECOS PAC ID | 6800049750 |
|---|---|
| Medicare Enrollment ID | O20121231000357 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1942253877 | NPI | - | NPPES |
| 119884 | Other | APS | |
| T4660001 | Other | BCBS FEDERAL | |
| 053001800 | Medicaid | MD | |
| KT20 | Other | MD | BLUE CROSS BLUE SHIELD |
| 025945 | Other | VALUE OPTIONS | |
| 4671917 | Other | AETNA | |
| 226385 | Other | KAISER PERMANENTE | |
| 6216677 | Other | UNITED BEHAVIORAL HEALTH | |
| IP273856 | Other | MAGELLAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 06934 (Maryland) | Primary |
| Provider Name | Susan Johns Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912118472 PECOS PAC ID: 4385897248 Enrollment ID: I20130102000455 |
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