| Kevin S Cameron, Lcsw-c, Llc | |
|
104 Forbes St Ste 205 Annapolis MD 21401-1598 | |
| (443) 833-5980 | |
| (410) 295-0606 |
| Full Name | Kevin S Cameron, Lcsw-c, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 104 Forbes St Ste 205, Annapolis, Maryland |
| Authorized Official Name and Position | Kevin Scott Cameron (PROVIDER) |
| Authorized Official Contact | 5153143400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kevin S Cameron, Lcsw-c, Llc 101 Edge Knol Ln Queenstown MD 21658-1341 Ph: (515) 314-3400 | Kevin S Cameron, Lcsw-c, Llc 104 Forbes St Ste 205 Annapolis MD 21401-1598 Ph: (443) 833-5980 |
| NPI Number | 1528568854 |
|---|---|
| Provider Enumeration Date | 02/13/2018 |
| Last Update Date | 04/10/2018 |
| Medicare PECOS PAC ID | 3173884319 |
|---|---|
| Medicare Enrollment ID | O20180521001565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528568854 | NPI | - | NPPES |
| 818015MD | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 19607 (Maryland) | Primary |
| Provider Name | Kevin Scott Cameron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326281536 PECOS PAC ID: 0042537821 Enrollment ID: I20150317000842 |
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