| Marta G Chaney Llc | |
|
3691 Park Ave Ellicott City MD 21043-4783 | |
| (410) 707-5893 | |
| Not Available |
| Full Name | Marta G Chaney Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 3691 Park Ave, Ellicott City, Maryland |
| Authorized Official Name and Position | Marta Gay Chaney (OWNER) |
| Authorized Official Contact | 4107075893 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Marta G Chaney Llc 5501 Suffield Ct Columbia MD 21044-2772 Ph: () - | Marta G Chaney Llc 3691 Park Ave Ellicott City MD 21043-4783 Ph: (410) 707-5893 |
| NPI Number | 1588900427 |
|---|---|
| Provider Enumeration Date | 12/21/2012 |
| Last Update Date | 12/21/2012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588900427 | NPI | - | NPPES |
| K452 | Other | BSDC | |
| PVPB117117 | Other | APS | |
| 150N | Other | MBMD | |
| 150N119G | Other | MEDICARE UNSPECIFIED | |
| 0003 | Other | BSDC | |
| 150N119G | Other | MBMD | |
| 253537 | Other | COMP | |
| 226574 | Other | KAIS | |
| 331942 | Other | MHN | |
| 360218 | Other | MHN | |
| 54264604 | Other | BSMD | |
| 252450 | Other | COMP | |
| 705BPS | Other | BSMD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 05213 (Maryland) | Primary |
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