| Cove Recovery, Llc | |
|
540 Riverside Drive Suite 8 Salisbury MD 21801 | |
| (410) 548-3333 | |
| (410) 548-3341 |
| Full Name | Cove Recovery, Llc |
|---|---|
| Speciality | Counselor |
| Location | 540 Riverside Drive, Salisbury, Maryland |
| Authorized Official Name and Position | Heather Collins (PRESIDENT) |
| Authorized Official Contact | 4105483333 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Cove Recovery, Llc 540 Riverside Dr Suite 8 Salisbury MD 21801-5352 Ph: (410) 548-3333 | Cove Recovery, Llc 540 Riverside Drive Suite 8 Salisbury MD 21801 Ph: (410) 548-3333 |
| NPI Number | 1013241611 |
|---|---|
| Provider Enumeration Date | 09/29/2009 |
| Last Update Date | 02/26/2024 |
| Certification Date | 02/26/2024 |
| Medicare PECOS PAC ID | 4688710841 |
|---|---|
| Medicare Enrollment ID | O20091001000681 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1013241611 | NPI | - | NPPES |
| 025292100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Primary |
| 251S00000X | Community/behavioral Health | 904229 (Maryland) | Secondary |
| Provider Name | Karen M Tossey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326134420 PECOS PAC ID: 1557328812 Enrollment ID: I20041217000673 |
| Provider Name | Laurie Anne Rockelli |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1497958136 PECOS PAC ID: 2860582822 Enrollment ID: I20071214000468 |
| Provider Name | Anita Wiest |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174585137 PECOS PAC ID: 6204995020 Enrollment ID: I20081110000158 |
| Provider Name | John David Collins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1972699734 PECOS PAC ID: 2961548128 Enrollment ID: I20091001000678 |
| Provider Name | Cathy F Woodward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699094284 PECOS PAC ID: 1254517592 Enrollment ID: I20110520000299 |
| Provider Name | Jed E Derrickson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1164518668 PECOS PAC ID: 9436429727 Enrollment ID: I20170719001966 |
| Provider Name | Detra Kelly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1982245049 PECOS PAC ID: 2365774163 Enrollment ID: I20191029000051 |
| Provider Name | Mark Wagner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1992358741 PECOS PAC ID: 2466784277 Enrollment ID: I20191029000449 |
| Provider Name | Heather Lynn Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548643075 PECOS PAC ID: 7719319003 Enrollment ID: I20191106002531 |
| Provider Name | Biliki Douglas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1801459193 PECOS PAC ID: 7911339858 Enrollment ID: I20191115000422 |
| Provider Name | Alec Taylor Peer |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1801340021 PECOS PAC ID: 3072996057 Enrollment ID: I20220824002326 |
| Provider Name | Sonya M Mckee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1407111032 PECOS PAC ID: 7315315157 Enrollment ID: I20221129000176 |
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