| Safe Harbor Behavioral Care Chesapeake Llc | |
|
108 Old Solomons Island Rd Unit 5 Annapolis MD 21401-3845 | |
| (410) 807-2626 | |
| Not Available |
| Full Name | Safe Harbor Behavioral Care Chesapeake Llc |
|---|---|
| Speciality | Social Worker |
| Location | 108 Old Solomons Island Rd Unit 5, Annapolis, Maryland |
| Authorized Official Name and Position | Selena Eldride (REGIONAL DIRECTOR) |
| Authorized Official Contact | 4108072626 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Harbor Behavioral Care Chesapeake Llc 946 Nabbs Creek Rd Glen Burnie MD 21060-8434 Ph: (410) 807-2626 | Safe Harbor Behavioral Care Chesapeake Llc 108 Old Solomons Island Rd Unit 5 Annapolis MD 21401-3845 Ph: (410) 807-2626 |
| NPI Number | 1295246718 |
|---|---|
| Provider Enumeration Date | 10/24/2017 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 0042578171 |
|---|---|
| Medicare Enrollment ID | O20171219003042 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1295246718 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YP2500X | Counselor - Professional | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Carolyn F Mcdonald |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1285641639 PECOS PAC ID: 7517911357 Enrollment ID: I20050304000385 |
| Provider Name | Michele G Stanton |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1902908270 PECOS PAC ID: 7911060660 Enrollment ID: I20090107000354 |
| Provider Name | Patricia M Itzel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417263674 PECOS PAC ID: 9032395611 Enrollment ID: I20110516000714 |
| Provider Name | James Barden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1770744088 PECOS PAC ID: 3375868995 Enrollment ID: I20150202001467 |
| Provider Name | Sabrina P Lueth Walker |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700295433 PECOS PAC ID: 6103102512 Enrollment ID: I20170420000759 |
| Provider Name | Erin Teigen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669068086 PECOS PAC ID: 0941604326 Enrollment ID: I20210806001498 |
| Provider Name | Denise Mckoy |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1033776364 PECOS PAC ID: 8628476017 Enrollment ID: I20211015001692 |
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