| Project Chesapeake Llc | |
|
34 Defense St 001 Annapolis MD 21401-3577 | |
| (443) 214-5097 | |
| (443) 378-8538 |
| Full Name | Project Chesapeake Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 34 Defense St, Annapolis, Maryland |
| Authorized Official Name and Position | Joseph Rogers (PARTNER) |
| Authorized Official Contact | 4434405780 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Project Chesapeake Llc 185 Admiral Cochrane Dr Ste 120 Annapolis MD 21401-7600 Ph: (443) 440-5780 | Project Chesapeake Llc 34 Defense St 001 Annapolis MD 21401-3577 Ph: (443) 214-5097 |
| NPI Number | 1053760421 |
|---|---|
| Provider Enumeration Date | 06/07/2016 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053760421 | NPI | - | NPPES |
| 900338 | Medicaid | MD | |
| 423286100 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17401 (Maryland) | Primary |
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