| Change From Within LLC | |
|
202 W 29th St Baltimore MD 21211-2904 | |
| (410) 245-3713 | |
| Not Available |
| Full Name | Change From Within LLC |
|---|---|
| Speciality | Social Worker |
| Location | 202 W 29th St, Baltimore, Maryland |
| Authorized Official Name and Position | Hannah Pfeifer (OWNER) |
| Authorized Official Contact | 4102453713 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Change From Within LLC 202 W 29th St Baltimore MD 21211-2904 | Change From Within LLC 202 W 29th St Baltimore MD 21211-2904 Ph: (410) 245-3713 |
| NPI Number | 1326617432 |
|---|---|
| Provider Enumeration Date | 06/22/2021 |
| Last Update Date | 07/16/2021 |
| Certification Date | 07/16/2021 |
| Medicare PECOS PAC ID | 1850864513 |
|---|---|
| Medicare Enrollment ID | O20260624001869 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326617432 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (NU) | Primary |
| Provider Name | Hannah Pfeifer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770949976 PECOS PAC ID: 3678046331 Enrollment ID: I20260624002160 |
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