| Pasadena Center For Counseling | |
|
8131 Ritchie Hwy Suite G Pasadena MD 21122-6940 | |
| (410) 360-4774 | |
| (410) 544-4928 |
| Full Name | Pasadena Center For Counseling |
|---|---|
| Speciality | Social Worker |
| Location | 8131 Ritchie Hwy, Pasadena, Maryland |
| Authorized Official Name and Position | George M Andrews (OWNER) |
| Authorized Official Contact | 4435910230 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pasadena Center For Counseling 8131 Ritchie Hwy Suite G Pasadena MD 21122-6940 Ph: (410) 360-4774 | Pasadena Center For Counseling 8131 Ritchie Hwy Suite G Pasadena MD 21122-6940 Ph: (410) 360-4774 |
| NPI Number | 1275615338 |
|---|---|
| Provider Enumeration Date | 10/19/2006 |
| Last Update Date | 07/27/2021 |
| Certification Date | 07/27/2021 |
| Medicare PECOS PAC ID | 0042306201 |
|---|---|
| Medicare Enrollment ID | O20071018000674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275615338 | NPI | - | NPPES |
| KG53PA | Other | MD | CAREFIRST BCBS |
| 2133418 | Other | MD | UNITED HEALTHCARE |
| 900001569001 | Other | MD | APS HEALTHCARE |
| 232380000 | Other | MD | MAGELLAN BEHAVIORAL HEALT |
| R731 | Other | DC | CAREFIRST BCBS NCA |
| 0002226332 | Other | MD | AETNA |
| 503P | Other | MD | MEDICARE PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | George M Andrews |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053499921 PECOS PAC ID: 9537134309 Enrollment ID: I20040826000903 |
| Provider Name | Dorinda A. Schultz |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558449421 PECOS PAC ID: 3476649658 Enrollment ID: I20071018000779 |
| Provider Name | Barbara L Shavatt |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1295906071 PECOS PAC ID: 6305906397 Enrollment ID: I20081120000515 |
| Provider Name | Marilyn E Yunk |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1467490151 PECOS PAC ID: 4284776188 Enrollment ID: I20100114000712 |
| Provider Name | Leona Mary Tartasky |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740451707 PECOS PAC ID: 5092971796 Enrollment ID: I20120725000157 |
| Provider Name | Richard L Warren |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1881749265 PECOS PAC ID: 2860633260 Enrollment ID: I20130727000202 |
| Provider Name | Laura Sewell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1730753955 PECOS PAC ID: 5294136818 Enrollment ID: I20210702000178 |
| Provider Name | Emery R Jefferies |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1265709364 PECOS PAC ID: 4082090477 Enrollment ID: I20221010000460 |
| Provider Name | Judith Ama Bruce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1285333492 PECOS PAC ID: 6901252998 Enrollment ID: I20231027000113 |
| Provider Name | Marian Thomas |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1720772692 PECOS PAC ID: 3173970944 Enrollment ID: I20231116000171 |
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