| John P. Geremia, Lcsw-c, Llc | |
|
8331 Lincoln Dr Jessup MD 20794-9454 | |
| (410) 799-5092 | |
| (410) 799-5092 |
| Full Name | John P. Geremia, Lcsw-c, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 8331 Lincoln Dr, Jessup, Maryland |
| Authorized Official Name and Position | John P Geremia (PSYCHOTHERAPIST) |
| Authorized Official Contact | 4107995092 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| John P. Geremia, Lcsw-c, Llc 8331 Lincoln Dr Jessup MD 20794-9454 Ph: (410) 799-5092 | John P. Geremia, Lcsw-c, Llc 8331 Lincoln Dr Jessup MD 20794-9454 Ph: (410) 799-5092 |
| NPI Number | 1174711626 |
|---|---|
| Provider Enumeration Date | 10/10/2007 |
| Last Update Date | 10/10/2007 |
| Medicare PECOS PAC ID | 4385729300 |
|---|---|
| Medicare Enrollment ID | O20080314000051 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174711626 | NPI | - | NPPES |
| 10830 | Other | MD | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 10830 (Maryland) | Primary |
| Provider Name | John P Geremia |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1104852912 PECOS PAC ID: 6800840133 Enrollment ID: I20080314000047 |
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