| Project Chesapeake Llc | |
|
111 E Main St Suite B Elkton MD 21921-5996 | |
| (443) 406-3234 | |
| (443) 378-8538 |
| Full Name | Project Chesapeake Llc |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 111 E Main St, Elkton, 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 111 E Main St Suite B Elkton MD 21921-5996 Ph: (443) 406-3234 |
| NPI Number | 1366990012 |
|---|---|
| Provider Enumeration Date | 09/12/2016 |
| Last Update Date | 03/26/2024 |
| Certification Date | 03/26/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366990012 | NPI | - | NPPES |
| 423286101 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 17401 (Maryland) | Primary |
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