| Sheppard Pratt | |
|
1925 Greenspring Dr Timonium MD 21093-4128 | |
| (410) 453-9553 | |
| Not Available |
| Full Name | Sheppard Pratt |
|---|---|
| Speciality | Clinic/Center |
| Location | 1925 Greenspring Dr, Timonium, Maryland |
| Authorized Official Name and Position | Sue Kessler (DIRECTOR, REVENUE CYCLE) |
| Authorized Official Contact | 4103828111 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sheppard Pratt Po Box 45709 Baltimore MD 21297-5709 | Sheppard Pratt 1925 Greenspring Dr Timonium MD 21093-4128 Ph: (410) 453-9553 |
| NPI Number | 1265539142 |
|---|---|
| Provider Enumeration Date | 09/20/2006 |
| Last Update Date | 03/24/2025 |
| Certification Date | 03/24/2025 |
| Medicare PECOS PAC ID | 0941289417 |
|---|---|
| Medicare Enrollment ID | O20040717000385 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1265539142 | NPI | - | NPPES |
| Provider Name | Anne L Jenkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154541126 PECOS PAC ID: 5799770392 Enrollment ID: I20040414001687 |
| Provider Name | Ronald F Means |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104988393 PECOS PAC ID: 5799757886 Enrollment ID: I20040810000175 |
| Provider Name | Cheryl Zwart |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1922163591 PECOS PAC ID: 8123073210 Enrollment ID: I20050322000657 |
| Provider Name | Naier a Anhary |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689629552 PECOS PAC ID: 8921037177 Enrollment ID: I20050808000738 |
| Provider Name | Leroy C Bell |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1568434181 PECOS PAC ID: 1759316441 Enrollment ID: I20050930000648 |
| Provider Name | Agnes Barbara Heyl |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174540918 PECOS PAC ID: 3274539341 Enrollment ID: I20061012000303 |
| Provider Name | Charles M Richardson |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1154306116 PECOS PAC ID: 1254427230 Enrollment ID: I20071023000060 |
| Provider Name | Kathryn Diane Karkowski |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548441082 PECOS PAC ID: 0648340307 Enrollment ID: I20080606000331 |
| Provider Name | Ayodeji O Somefun |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1831165380 PECOS PAC ID: 8123040854 Enrollment ID: I20080610000600 |
| Provider Name | Jeannie Pham |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720271430 PECOS PAC ID: 9032285317 Enrollment ID: I20080910000543 |
| Provider Name | Laszlo Trazkovich |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1528080025 PECOS PAC ID: 2769540335 Enrollment ID: I20081027000125 |
| Provider Name | Supriya Narang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1083689293 PECOS PAC ID: 1951334499 Enrollment ID: I20081201000029 |
| Provider Name | Thomas Colligan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1316276900 PECOS PAC ID: 9133256266 Enrollment ID: I20100422000132 |
| Provider Name | Tiffany L Shaw |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689991473 PECOS PAC ID: 3577693134 Enrollment ID: I20100609000394 |
| Provider Name | Edward Zuzarte |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1366598252 PECOS PAC ID: 9234321894 Enrollment ID: I20101014000628 |
| Provider Name | Valerie Ward |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639323108 PECOS PAC ID: 5294916185 Enrollment ID: I20110225000121 |
| Provider Name | Vivian Archibong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235340266 PECOS PAC ID: 9931383239 Enrollment ID: I20110412000098 |
| Provider Name | Arachchige Muthukuda |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1073770616 PECOS PAC ID: 9638354608 Enrollment ID: I20110506000607 |
| Provider Name | Jessie Stephen |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1780845842 PECOS PAC ID: 6305006164 Enrollment ID: I20120402000333 |
| Provider Name | Khizar Khan |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1427090497 PECOS PAC ID: 7113824392 Enrollment ID: I20120504000022 |
| Provider Name | Dana Hackey |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548535073 PECOS PAC ID: 6305009713 Enrollment ID: I20120523000074 |
| Provider Name | Tammy Acker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225384431 PECOS PAC ID: 8123277050 Enrollment ID: I20121009000286 |
| Provider Name | Diana Marie Smith |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942646591 PECOS PAC ID: 0446499362 Enrollment ID: I20130625000257 |
| Provider Name | Debra Thompson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831419100 PECOS PAC ID: 2668607946 Enrollment ID: I20131022000638 |
| Provider Name | Susan Fleischer-jackson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275958969 PECOS PAC ID: 0648403097 Enrollment ID: I20140509000342 |
| Provider Name | Yakir Vaks |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1104086776 PECOS PAC ID: 4981843851 Enrollment ID: I20141003000853 |
| Provider Name | Miguel A. Arce |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1487736096 PECOS PAC ID: 2264345313 Enrollment ID: I20150427000679 |
| Provider Name | Erica Sacchetti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1679967426 PECOS PAC ID: 3072833029 Enrollment ID: I20150515000065 |
| Provider Name | Fauzia Nisar Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1861703902 PECOS PAC ID: 8729390315 Enrollment ID: I20150710001047 |
| Provider Name | Robert Johannes Schloesser |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1902195878 PECOS PAC ID: 7315250370 Enrollment ID: I20150720002162 |
| Provider Name | Tara Hughes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033593900 PECOS PAC ID: 3678887072 Enrollment ID: I20150729008963 |
| Provider Name | Travis Baird |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235548314 PECOS PAC ID: 3476853870 Enrollment ID: I20151207001932 |
| Provider Name | Amy M Grammas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992172308 PECOS PAC ID: 8123320611 Enrollment ID: I20151229002554 |
| Provider Name | Hakim Ogunsanya |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1992166193 PECOS PAC ID: 4587963111 Enrollment ID: I20160503000300 |
| Provider Name | Charlene Rozich |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1760726269 PECOS PAC ID: 3072758556 Enrollment ID: I20160804000040 |
| Provider Name | Zhihong Guo |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1326208984 PECOS PAC ID: 3577859412 Enrollment ID: I20160901001366 |
| Provider Name | Yuanfen Zhang |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1306282249 PECOS PAC ID: 1355629395 Enrollment ID: I20161026002629 |
| Provider Name | Rachel S Mencher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811373509 PECOS PAC ID: 3274842695 Enrollment ID: I20171122001630 |
| Provider Name | Rebekah Hagan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1093112666 PECOS PAC ID: 6608123369 Enrollment ID: I20180726000917 |
| Provider Name | Joel Griffith |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1508338203 PECOS PAC ID: 9133468143 Enrollment ID: I20190307003227 |
| Provider Name | Mary N Zelio |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1588901946 PECOS PAC ID: 8123351400 Enrollment ID: I20190603000241 |
| Provider Name | Adefolake Akinsanya |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316353816 PECOS PAC ID: 1254631781 Enrollment ID: I20190722000404 |
| Provider Name | Charles J Schneiderhan |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1043642507 PECOS PAC ID: 2264656628 Enrollment ID: I20190917003065 |
| Provider Name | Jaclyn Blaire Daugherty |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1477197424 PECOS PAC ID: 5294164984 Enrollment ID: I20200331003533 |
| Provider Name | Keith Reilley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770128712 PECOS PAC ID: 5092146217 Enrollment ID: I20200504000013 |
| Provider Name | Peter Olusola Ige |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1164060943 PECOS PAC ID: 1557784543 Enrollment ID: I20200709001229 |
| Provider Name | Bimla Rai |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1689069627 PECOS PAC ID: 6608127451 Enrollment ID: I20200916000109 |
| Provider Name | Jasmine Stock |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255784203 PECOS PAC ID: 9739599762 Enrollment ID: I20201103002179 |
| Provider Name | Ethan Krause |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447862305 PECOS PAC ID: 0446661979 Enrollment ID: I20201204000543 |
| Provider Name | Insley Schaden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598357691 PECOS PAC ID: 4880009802 Enrollment ID: I20210224001201 |
| Provider Name | Crystal Daniels |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1609470780 PECOS PAC ID: 1254748742 Enrollment ID: I20210330000654 |
| Provider Name | Brian Brady |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1225613094 PECOS PAC ID: 1052720992 Enrollment ID: I20210506000357 |
| Provider Name | Hillary Mallette |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1124688205 PECOS PAC ID: 3779982327 Enrollment ID: I20210602000024 |
| Provider Name | Candace Womack |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578141602 PECOS PAC ID: 9133529936 Enrollment ID: I20210616001221 |
| Provider Name | Raphael Gikonyo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1205458536 PECOS PAC ID: 6608264296 Enrollment ID: I20211101003044 |
| Provider Name | Kathleen Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1528720018 PECOS PAC ID: 9032507645 Enrollment ID: I20211102000353 |
| Provider Name | Courtney Sanders |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1427725878 PECOS PAC ID: 3779971171 Enrollment ID: I20211103001571 |
| Provider Name | Leslie Segev |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1184212656 PECOS PAC ID: 1254729619 Enrollment ID: I20211104000703 |
| Provider Name | Yoko Stevens |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1538631510 PECOS PAC ID: 2961893664 Enrollment ID: I20220106000223 |
| Provider Name | Ashwini Vinod Sabnis |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1396777009 PECOS PAC ID: 8820241946 Enrollment ID: I20220207000761 |
| Provider Name | Rufina Ewane |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1194128645 PECOS PAC ID: 4981097854 Enrollment ID: I20220217001487 |
| Provider Name | Allyson Murphy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1760050983 PECOS PAC ID: 3375938194 Enrollment ID: I20220315000020 |
| Provider Name | Liz NP Nangendo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1689108730 PECOS PAC ID: 6204100886 Enrollment ID: I20220411000304 |
| Provider Name | Michael Christopher Hann |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1649511486 PECOS PAC ID: 7719371012 Enrollment ID: I20220513000838 |
| Provider Name | Abria a Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1770256166 PECOS PAC ID: 1759760267 Enrollment ID: I20220614000076 |
| Provider Name | Star Tangyie-cheniba |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1679835698 PECOS PAC ID: 2264817840 Enrollment ID: I20220919000137 |
| Provider Name | Angenette C Hayes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780318519 PECOS PAC ID: 4183090319 Enrollment ID: I20221013001321 |
| Provider Name | Hannah G Schwartz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174116263 PECOS PAC ID: 1850761206 Enrollment ID: I20221230000776 |
| Provider Name | Nicole Onolfi |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942898648 PECOS PAC ID: 1557733995 Enrollment ID: I20230210001090 |
| Provider Name | Olufunmilayo Adeloye |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1184377855 PECOS PAC ID: 0749653533 Enrollment ID: I20230225000224 |
| Provider Name | Emily Sara Yee |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1134716657 PECOS PAC ID: 9436522851 Enrollment ID: I20230306002969 |
| Provider Name | Meredith Bryn Ordak |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1689385791 PECOS PAC ID: 8123491545 Enrollment ID: I20230307000107 |
| Provider Name | Anika C Green |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235853334 PECOS PAC ID: 0749654408 Enrollment ID: I20230320001470 |
| Provider Name | Amy Ruth Vanlenten |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1851560130 PECOS PAC ID: 1951759208 Enrollment ID: I20231127001820 |
| Provider Name | Jessica Schuhly |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1306479621 PECOS PAC ID: 9032567177 Enrollment ID: I20231129002739 |
| Provider Name | Kyle Shuman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225564552 PECOS PAC ID: 0648621482 Enrollment ID: I20240105003142 |
| Provider Name | Heather Mhc Dupre |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740605633 PECOS PAC ID: 6305297920 Enrollment ID: I20240109000321 |
| Provider Name | Brianna Preston |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1366114670 PECOS PAC ID: 7719320803 Enrollment ID: I20240206000907 |
| Provider Name | Alexandra Christine Duncan |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1619628740 PECOS PAC ID: 4385087378 Enrollment ID: I20240206004839 |
| Provider Name | Meagan L. Herman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1437553880 PECOS PAC ID: 7315380037 Enrollment ID: I20240209002763 |
| Provider Name | Cody Jenkins |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144987108 PECOS PAC ID: 0749624740 Enrollment ID: I20240219000053 |
| Provider Name | Holly Ann Lawrence |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194479907 PECOS PAC ID: 4789028705 Enrollment ID: I20240219000605 |
| Provider Name | Caroline Virginia Hardesty |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992085567 PECOS PAC ID: 7618311580 Enrollment ID: I20240219002881 |
| Provider Name | Gregory Harris |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710352471 PECOS PAC ID: 6406290386 Enrollment ID: I20240219003450 |
| Provider Name | Jeremy Ryan Tallman |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225574031 PECOS PAC ID: 9638513484 Enrollment ID: I20240220002212 |
| Provider Name | James R Henschen |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1730314618 PECOS PAC ID: 3476997271 Enrollment ID: I20240220004145 |
| Provider Name | Lauren Pearson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982298337 PECOS PAC ID: 2961846753 Enrollment ID: I20240220004176 |
| Provider Name | Jaimey Mcclurkin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1306406996 PECOS PAC ID: 8325482052 Enrollment ID: I20240221000696 |
| Provider Name | Melanie Evans |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932875382 PECOS PAC ID: 8628412368 Enrollment ID: I20240221000947 |
| Provider Name | Omolola Victoria Imani |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1871137638 PECOS PAC ID: 4385088038 Enrollment ID: I20240221001214 |
| Provider Name | Deborah Anne Woodend Stenger |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1124774419 PECOS PAC ID: 9739523432 Enrollment ID: I20240221003024 |
| Provider Name | Kayleigh Lynn Weaver |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1225703085 PECOS PAC ID: 8426492000 Enrollment ID: I20240222001864 |
| Provider Name | Jasmine Jefferson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588328371 PECOS PAC ID: 1456795905 Enrollment ID: I20240223000008 |
| Provider Name | Shelby Hope Bish |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1205553658 PECOS PAC ID: 9739523291 Enrollment ID: I20240223000371 |
| Provider Name | Crystal Lynn Rainey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1578130837 PECOS PAC ID: 4880039692 Enrollment ID: I20240304000938 |
| Provider Name | Laurey W Richmond |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1588877476 PECOS PAC ID: 2365886165 Enrollment ID: I20240305000151 |
| Provider Name | Carlie Belt |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932455888 PECOS PAC ID: 2062856867 Enrollment ID: I20240311000837 |
| Provider Name | Mary Catherine Campbell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1740998293 PECOS PAC ID: 4789021072 Enrollment ID: I20240321004133 |
| Provider Name | Christina Lcp Reese |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194008482 PECOS PAC ID: 1557708559 Enrollment ID: I20240327000196 |
| Provider Name | Karlice Moss-teams |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1144571068 PECOS PAC ID: 5193162014 Enrollment ID: I20240327000590 |
| Provider Name | Myrta Ivis Molina |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1992411201 PECOS PAC ID: 0547608200 Enrollment ID: I20240401003087 |
| Provider Name | Angela Renee Preschel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285334458 PECOS PAC ID: 7315386133 Enrollment ID: I20240412002558 |
| Provider Name | Erin Wade |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1033842273 PECOS PAC ID: 8820432842 Enrollment ID: I20240424002358 |
| Provider Name | Cheryl Denise Matthew |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1245478536 PECOS PAC ID: 3870930787 Enrollment ID: I20240501001221 |
| Provider Name | Genevieve Diamond |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114399771 PECOS PAC ID: 8123338621 Enrollment ID: I20240506003975 |
| Provider Name | Kourtney Green Hadden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649871435 PECOS PAC ID: 3779924196 Enrollment ID: I20240515003779 |
| Provider Name | Hannah Paulding |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1720615552 PECOS PAC ID: 8921428905 Enrollment ID: I20240606000809 |
| Provider Name | Paige Austin |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1528514999 PECOS PAC ID: 2466994363 Enrollment ID: I20240606003137 |
| Provider Name | Meaghan Tine |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1598463556 PECOS PAC ID: 0042753832 Enrollment ID: I20240621000421 |
| Provider Name | Dana Kresslein |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366055253 PECOS PAC ID: 7214472257 Enrollment ID: I20240715000026 |
| Provider Name | Carine Nkemanjong |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285218305 PECOS PAC ID: 6305236217 Enrollment ID: I20240715001323 |
| Provider Name | Liliana Borensztein |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1447471651 PECOS PAC ID: 6406847060 Enrollment ID: I20240812002018 |
| Provider Name | Emily Dorsey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1710602818 PECOS PAC ID: 4486192978 Enrollment ID: I20240815000299 |
| Provider Name | Erin Cocchiaro |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1710640198 PECOS PAC ID: 1355880089 Enrollment ID: I20240827000632 |
| Provider Name | Coquilla Cross |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1235197013 PECOS PAC ID: 4880675800 Enrollment ID: I20240916003938 |
| Provider Name | Parastoo Ziazarifi |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1164191763 PECOS PAC ID: 0749711778 Enrollment ID: I20241002000281 |
| Provider Name | Rodra Oliver |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568053825 PECOS PAC ID: 4880125749 Enrollment ID: I20241002001713 |
| Provider Name | Jessica Giacobbe |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1386359040 PECOS PAC ID: 5294267043 Enrollment ID: I20241017001943 |
| Provider Name | Michael Nias |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1548448251 PECOS PAC ID: 3870766652 Enrollment ID: I20241022001325 |
| Provider Name | Sharon Tawiah |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1477136612 PECOS PAC ID: 3476085275 Enrollment ID: I20241111001100 |
| Provider Name | Jennifer Marie Wong |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1780945436 PECOS PAC ID: 7911433727 Enrollment ID: I20241203004380 |
| Provider Name | Dana Knott |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1750126785 PECOS PAC ID: 6305374489 Enrollment ID: I20250117000290 |
| Provider Name | Anjalissa Johnson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1891191052 PECOS PAC ID: 8729509799 Enrollment ID: I20250306000811 |
| Provider Name | Alicia Ching |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811617590 PECOS PAC ID: 8325576754 Enrollment ID: I20250311001651 |
| Provider Name | Dominique Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417382375 PECOS PAC ID: 8527321991 Enrollment ID: I20250424003084 |
| Provider Name | Chelsea Jordan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1063298297 PECOS PAC ID: 0446767396 Enrollment ID: I20250726000045 |
| Provider Name | Tanisha Everett |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1942614847 PECOS PAC ID: 2961904255 Enrollment ID: I20250905003111 |
| Provider Name | Marciana Senires |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770209736 PECOS PAC ID: 3971006750 Enrollment ID: I20250910000450 |
| Provider Name | Chelsea Anderson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376297648 PECOS PAC ID: 1951890995 Enrollment ID: I20251029003789 |
| Provider Name | Ashley Barnes |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093353948 PECOS PAC ID: 7517459019 Enrollment ID: I20251218002350 |
| Provider Name | Emily Berich-anastasio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1538863139 PECOS PAC ID: 2264927029 Enrollment ID: I20251218003142 |
| Provider Name | Dyonna a Nelson |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1194322297 PECOS PAC ID: 9537655717 Enrollment ID: I20251227000043 |
| Provider Name | Marcus E. John |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770306557 PECOS PAC ID: 5991281495 Enrollment ID: I20260114004151 |
| Provider Name | Alisha Shantel Clark |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1114798683 PECOS PAC ID: 3375020654 Enrollment ID: I20260116001429 |
| Provider Name | Volante Waters |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1083433510 PECOS PAC ID: 1557889730 Enrollment ID: I20260121001515 |
| Provider Name | Vaishnavi Seshadri |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1326811126 PECOS PAC ID: 0446744742 Enrollment ID: I20260121002123 |
| Provider Name | Stephanie Charlene Mobley |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1952126567 PECOS PAC ID: 0547752891 Enrollment ID: I20260122000437 |
| Provider Name | Amanda Johnson |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1639034515 PECOS PAC ID: 6305323049 Enrollment ID: I20260123000998 |
| Provider Name | Porscher Charles |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1134807753 PECOS PAC ID: 7719464205 Enrollment ID: I20260127002644 |
| Provider Name | Amanda Tracey |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1982471611 PECOS PAC ID: 6204314321 Enrollment ID: I20260130001101 |
| Provider Name | Angeline Richards |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033823802 PECOS PAC ID: 5294213203 Enrollment ID: I20260131000575 |
| Provider Name | Justin Donadio |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1932952496 PECOS PAC ID: 4284114729 Enrollment ID: I20260214000003 |
| Provider Name | Maria K Yeager |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1548013956 PECOS PAC ID: 2769962133 Enrollment ID: I20260216000979 |
| Provider Name | Deandra J Jones |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1558032862 PECOS PAC ID: 8921453002 Enrollment ID: I20260323001638 |
| Provider Name | Karla Pate Mcclure |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700505799 PECOS PAC ID: 6406331909 Enrollment ID: I20260402001071 |
| Provider Name | Elizabeth T Diaz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1508573718 PECOS PAC ID: 1456826890 Enrollment ID: I20260413003594 |
Good Vibes Care LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2219 York Rd Suite 400, Timonium, MD 21093 Phone: 443-971-3220 Fax: 443-320-9252 |
Lineout Therapy LLC Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 Daria Ct, Timonium, MD 21093 Phone: 443-530-7079 |
Sheppard Pratt Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 1925 Greenspring Dr, Timonium, MD 21093 Phone: 410-453-9553 |
Creative Wellness Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 30 E Padonia Rd Ste 202, Timonium, MD 21093 Phone: 443-470-3505 |
Villa Maria School Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 2300a Dulaney Valley Rd, Timonium, MD 21093 Phone: 667-600-3106 |
Life Care Health Associates Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22 W Padonia Rd, Timonium, MD 21093 Phone: 410-666-5781 |