| Finksburg Counseling Service, Llc | |
|
1812 Baltimore Blvd Suite C Westminster MD 21157-7146 | |
| (410) 751-6176 | |
| (410) 857-4176 |
| Full Name | Finksburg Counseling Service, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 1812 Baltimore Blvd, Westminster, Maryland |
| Authorized Official Name and Position | Pamela Tregoe Manner (DIRECTOR) |
| Authorized Official Contact | 4107516176 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Finksburg Counseling Service, Llc 1812 Baltimore Blvd Ste A Westminster MD 21157-7144 Ph: (410) 751-6176 | Finksburg Counseling Service, Llc 1812 Baltimore Blvd Suite C Westminster MD 21157-7146 Ph: (410) 751-6176 |
| NPI Number | 1497797021 |
|---|---|
| Provider Enumeration Date | 06/11/2006 |
| Last Update Date | 10/07/2022 |
| Certification Date | 10/07/2022 |
| Medicare PECOS PAC ID | 2466401534 |
|---|---|
| Medicare Enrollment ID | O20050114000730 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497797021 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Maryland) | Primary |
| Provider Name | Yusuke Sagawa |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1922067438 PECOS PAC ID: 1951388107 Enrollment ID: I20060426000276 |
| Provider Name | Michelle W Battista |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265598171 PECOS PAC ID: 3173749041 Enrollment ID: I20140730000055 |
| Provider Name | Ashly E Ebeling |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1447377494 PECOS PAC ID: 2769759505 Enrollment ID: I20170525001916 |
| Provider Name | January Page Raven Utermahlen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316583503 PECOS PAC ID: 6103253620 Enrollment ID: I20200224000569 |
| Provider Name | Pamela Tregoe Manner |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1073567228 PECOS PAC ID: 1557310638 Enrollment ID: I20240108000135 |
| Provider Name | Sandra Shipley Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245430149 PECOS PAC ID: 5496106791 Enrollment ID: I20240111001499 |
| Provider Name | Denise Lynne Ziegler |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619080207 PECOS PAC ID: 4082066733 Enrollment ID: I20240117004605 |
| Provider Name | Kathleen Elizabeth Childs |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1760605687 PECOS PAC ID: 7517301831 Enrollment ID: I20240214003623 |
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