| Marissa Block Llc | |
|
200 E Joppa Rd Towson MD 21286-3150 | |
| (443) 300-6905 | |
| (443) 233-0231 |
| Full Name | Marissa Block Llc |
|---|---|
| Speciality | Counselor |
| Location | 200 E Joppa Rd, Towson, Maryland |
| Authorized Official Name and Position | Marissa Block (CEO/FOUNDER) |
| Authorized Official Contact | 4433006905 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Marissa Block Llc 502 Charles Street Ave Towson MD 21204-4206 Ph: (636) 399-6160 | Marissa Block Llc 200 E Joppa Rd Towson MD 21286-3150 Ph: (443) 300-6905 |
| NPI Number | 1407453939 |
|---|---|
| Provider Enumeration Date | 10/07/2020 |
| Last Update Date | 06/13/2023 |
| Certification Date | 06/13/2023 |
| Medicare PECOS PAC ID | 2769894963 |
|---|---|
| Medicare Enrollment ID | O20201211001965 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407453939 | NPI | - | NPPES |
| 1104390012 | Other | INDIVIDUAL NPI |
| Provider Name | Jenelle Anthony |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1841447596 PECOS PAC ID: 1557591336 Enrollment ID: I20140221001110 |
| Provider Name | Mosunmola Lake |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1275050288 PECOS PAC ID: 6901171172 Enrollment ID: I20171014000270 |
| Provider Name | Ashley B Osborne |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710496302 PECOS PAC ID: 0648539486 Enrollment ID: I20180124000325 |
| Provider Name | Akherenwei Gwan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447670732 PECOS PAC ID: 6204150394 Enrollment ID: I20190115001673 |
| Provider Name | Kamiylah Abdul Lawson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1003403031 PECOS PAC ID: 4880003094 Enrollment ID: I20210429000223 |
| Provider Name | Olayemi Ayilegbe |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487249025 PECOS PAC ID: 7719379577 Enrollment ID: I20220128000400 |
| Provider Name | Timika Goodson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053910794 PECOS PAC ID: 9335553064 Enrollment ID: I20240108006173 |
| Provider Name | Jeff Biele |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1821450768 PECOS PAC ID: 9830541051 Enrollment ID: I20240123003353 |
| Provider Name | Brianne Nolan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871061366 PECOS PAC ID: 4284087529 Enrollment ID: I20240202000203 |
| Provider Name | Adele Feild |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1356808174 PECOS PAC ID: 9537502901 Enrollment ID: I20240213002709 |
| Provider Name | Bernadette Pruitt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528782034 PECOS PAC ID: 2365886983 Enrollment ID: I20240221003945 |
| Provider Name | Dragana Hrvat |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1518461367 PECOS PAC ID: 7911348842 Enrollment ID: I20240509002467 |
| Provider Name | Tammy M Green |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124597638 PECOS PAC ID: 4587100466 Enrollment ID: I20240726004009 |
| Provider Name | Nancy Rabb |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477887800 PECOS PAC ID: 7618417668 Enrollment ID: I20240905002579 |
| Provider Name | Sheryl Hicks |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1669007548 PECOS PAC ID: 6507398179 Enrollment ID: I20241021003068 |
| Provider Name | Rose Walker |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1922478718 PECOS PAC ID: 5597290809 Enrollment ID: I20241216000869 |
| Provider Name | Justin Miles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1679885933 PECOS PAC ID: 2365970118 Enrollment ID: I20250108001340 |
| Provider Name | Heather R Thomas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972111912 PECOS PAC ID: 0446779805 Enrollment ID: I20250529000021 |
| Provider Name | Anita M Ellebracht |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255941936 PECOS PAC ID: 1153831979 Enrollment ID: I20250611000189 |
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