| Insite Integrative Services, Llc | |
|
2 Oakway Rd Lutherville MD 21093-4236 | |
| (410) 804-1934 | |
| Not Available |
| Full Name | Insite Integrative Services, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 2 Oakway Rd, Lutherville, Maryland |
| Authorized Official Name and Position | Edward M Geraty (PRESIDENT) |
| Authorized Official Contact | 4108041934 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Insite Integrative Services, Llc 114 Oakway Rd Lutherville MD 21093-4339 Ph: (410) 804-1934 | Insite Integrative Services, Llc 2 Oakway Rd Lutherville MD 21093-4236 Ph: (410) 804-1934 |
| NPI Number | 1790428498 |
|---|---|
| Provider Enumeration Date | 04/19/2022 |
| Last Update Date | 04/19/2022 |
| Certification Date | 04/19/2022 |
| Medicare PECOS PAC ID | 8224425582 |
|---|---|
| Medicare Enrollment ID | O20220505000486 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790428498 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Edward Geraty |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952435455 PECOS PAC ID: 4981926144 Enrollment ID: I20141126000117 |
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