| Jewish Community Services, Inc | |
|
5750 Park Heights Ave Baltimore MD 21215-3930 | |
| (410) 843-7447 | |
| (410) 664-0551 |
| Full Name | Jewish Community Services, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 5750 Park Heights Ave, Baltimore, Maryland |
| Authorized Official Name and Position | Joan Roth (CHIEF FINANCIAL OFFICER) |
| Authorized Official Contact | 4108437387 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Jewish Community Services, Inc 5750 Park Heights Ave Baltimore MD 21215-3930 Ph: (410) 843-7447 | Jewish Community Services, Inc 5750 Park Heights Ave Baltimore MD 21215-3930 Ph: (410) 843-7447 |
| NPI Number | 1023000320 |
|---|---|
| Provider Enumeration Date | 08/22/2005 |
| Last Update Date | 07/03/2008 |
| Medicare PECOS PAC ID | 0345141362 |
|---|---|
| Medicare Enrollment ID | O20040114000183 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023000320 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Myra L Hettleman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851326771 PECOS PAC ID: 6901880491 Enrollment ID: I20040614001363 |
| Provider Name | Elyse S Nissim |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912937319 PECOS PAC ID: 5092773556 Enrollment ID: I20041230000021 |
| Provider Name | Deborah J Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235159914 PECOS PAC ID: 8820196785 Enrollment ID: I20070531000394 |
| Provider Name | Mimi B Kraus |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912937285 PECOS PAC ID: 9739219791 Enrollment ID: I20100617000661 |
| Provider Name | Christine Cronin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1194762096 PECOS PAC ID: 0648301861 Enrollment ID: I20100701000292 |
| Provider Name | Stacey E Meadows |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1336435601 PECOS PAC ID: 4587815683 Enrollment ID: I20121120000278 |
| Provider Name | Tridonna D Brandford |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1316377377 PECOS PAC ID: 4284621251 Enrollment ID: I20140512000628 |
| Provider Name | Agerie A Ejigu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871044784 PECOS PAC ID: 7416237011 Enrollment ID: I20170202002286 |
| Provider Name | Shneur Z Marshall |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063889889 PECOS PAC ID: 1355689019 Enrollment ID: I20190205002993 |
| Provider Name | Jennifer P Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568554608 PECOS PAC ID: 7810175775 Enrollment ID: I20210114002588 |
| Provider Name | Benjamin Levey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558586560 PECOS PAC ID: 3476968330 Enrollment ID: I20210226001921 |
| Provider Name | Nancy Basner |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1629565692 PECOS PAC ID: 4082016944 Enrollment ID: I20210714002801 |
| Provider Name | Alexandra Kasoff |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346975562 PECOS PAC ID: 5193108116 Enrollment ID: I20220823003538 |
| Provider Name | Lillian R Soloweszyk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275138141 PECOS PAC ID: 2264895770 Enrollment ID: I20230831001918 |
| Provider Name | Nadia Womack |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588940662 PECOS PAC ID: 2769831221 Enrollment ID: I20231208001310 |
Trinity Healthcare Services Incorporated Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4701 Belair Rd, Baltimore, MD 21206 Phone: 410-325-1850 | |
Michael B. Freedman Phd Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 6006 Park Heights Ave, Baltimore, MD 21215 Phone: 410-790-8433 Fax: 443-501-3379 | |
Sankofa Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 801 Key Hwy, Unit 442, Baltimore, MD 21230 Phone: 301-758-3682 | |
Home Free Iop Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 10 W Madison St Ste 11, Baltimore, MD 21201 Phone: 443-438-5239 | |
All Walks Of Life, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 107 E 25th St, Baltimore, MD 21218 Phone: 410-558-0019 | |
Devaughn Intervention Teach And Treat Options Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 4804 York Rd Ste 2, Baltimore, MD 21212 Phone: 443-873-8958 Fax: 443-873-8959 | |
Darryl M Coleman Md Pa Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 115 N Monroe St, Baltimore, MD 21223 Phone: 443-708-4391 Fax: 443-708-4436 |