| Judith R Moses Lcsw Compassionate Counseling And Psychotherapy Servi | |
|
7908 Bayshore Dr Apt 21 Laurel MD 20707-6183 | |
| (703) 831-5340 | |
| (703) 890-2479 |
| Full Name | Judith R Moses Lcsw Compassionate Counseling And Psychotherapy Servi |
|---|---|
| Speciality | Social Worker |
| Location | 7908 Bayshore Dr Apt 21, Laurel, Maryland |
| Authorized Official Name and Position | Judith Moses (OWNER) |
| Authorized Official Contact | 7038315340 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Judith R Moses Lcsw Compassionate Counseling And Psychotherapy Servi 7908 Bayshore Dr Apt 21 Laurel MD 20707-6183 Ph: (703) 831-5340 | Judith R Moses Lcsw Compassionate Counseling And Psychotherapy Servi 7908 Bayshore Dr Apt 21 Laurel MD 20707-6183 Ph: (703) 831-5340 |
| NPI Number | 1376131102 |
|---|---|
| Provider Enumeration Date | 01/07/2021 |
| Last Update Date | 03/31/2021 |
| Certification Date | 03/31/2021 |
| Medicare PECOS PAC ID | 0941618714 |
|---|---|
| Medicare Enrollment ID | O20210415000727 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1376131102 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Judith Moses |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1588299374 PECOS PAC ID: 1850709627 Enrollment ID: I20210415000850 |
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