| Safe Harbor Community Services | |
| 
					2227 Old Emmorton Rd Ste 115 Bel Air MD 21015-6190  | |
| (410) 995-8973 | |
| Not Available | 
| Full Name | Safe Harbor Community Services | 
|---|---|
| Speciality | Clinic/Center | 
| Location | 2227 Old Emmorton Rd Ste 115, Bel Air, Maryland | 
| Authorized Official Name and Position | Pamela J Llewellyn (EXECUTIVE DIRECTOR) | 
| Authorized Official Contact | 4109958973 | 
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Safe Harbor Community Services 1208 E Churchville Rd Ste 300 Bel Air MD 21014-3485 Ph: () -  | Safe Harbor Community Services 2227 Old Emmorton Rd Ste 115 Bel Air MD 21015-6190 Ph: (410) 995-8973  | 
| NPI Number | 1184209447 | 
|---|---|
| Provider Enumeration Date | 03/17/2021 | 
| Last Update Date | 04/24/2021 | 
| Certification Date | 04/24/2021 | 
| Medicare PECOS PAC ID | 3870902364 | 
|---|---|
| Medicare Enrollment ID | O20210513001336 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1184209447 | NPI | - | NPPES | 
| Provider Name | Robert Ciaverelli | 
|---|---|
| Provider Type | Practitioner - Psychiatry | 
| Provider Identifiers | NPI Number: 1689681983 PECOS PAC ID: 3577514983 Enrollment ID: I20050202001005  | 
| Provider Name | Wendy E Kelly | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1548283666 PECOS PAC ID: 5698868370 Enrollment ID: I20070911000820  | 
| Provider Name | Lisa M Swords | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1609177658 PECOS PAC ID: 2769665876 Enrollment ID: I20110328000607  | 
| Provider Name | Pamela J Llewellyn | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1619230539 PECOS PAC ID: 4385947654 Enrollment ID: I20160120000889  | 
| Provider Name | Jannie L Doh-lao | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1134554769 PECOS PAC ID: 0143451013 Enrollment ID: I20171010003417  | 
| Provider Name | Samantha Cohose | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1326515974 PECOS PAC ID: 3971847922 Enrollment ID: I20181203002473  | 
| Provider Name | Kaitlan Phillips | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1003380643 PECOS PAC ID: 6800209339 Enrollment ID: I20201230001491  | 
| Provider Name | Kamiylah Abdul Lawson | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1003403031 PECOS PAC ID: 4880003094 Enrollment ID: I20210429000223  | 
| Provider Name | Lisa Stanford | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1255924114 PECOS PAC ID: 3577940501 Enrollment ID: I20220513000335  | 
| Provider Name | Kevin Brown | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1740919190 PECOS PAC ID: 5597140590 Enrollment ID: I20220912001844  | 
| Provider Name | Erin P Williams | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1730805458 PECOS PAC ID: 9830566819 Enrollment ID: I20221103001847  | 
| Provider Name | Jonathan Decarlo | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1548731995 PECOS PAC ID: 7012389497 Enrollment ID: I20230213000421  | 
| Provider Name | Yetunde Oloto | 
|---|---|
| Provider Type | Practitioner - Nurse Practitioner | 
| Provider Identifiers | NPI Number: 1881394773 PECOS PAC ID: 9133587983 Enrollment ID: I20230627000227  | 
| Provider Name | Melanie Sipes | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1669946000 PECOS PAC ID: 1658813589 Enrollment ID: I20240607000018  | 
| Provider Name | Sherron Brown | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1063158764 PECOS PAC ID: 1759824816 Enrollment ID: I20240617003291  | 
| Provider Name | Dominick Jenkins | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1881369338 PECOS PAC ID: 6608310842 Enrollment ID: I20240628002700  | 
| Provider Name | Ebony Pena | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1780150383 PECOS PAC ID: 2769929405 Enrollment ID: I20240731000785  | 
| Provider Name | Suzanne Lawson | 
|---|---|
| Provider Type | Practitioner - Clinical Social Worker | 
| Provider Identifiers | NPI Number: 1265108104 PECOS PAC ID: 1951841659 Enrollment ID: I20240909003685  | 
| Provider Name | Matthew Richardson | 
|---|---|
| Provider Type | Practitioner - Mental Health Counselor | 
| Provider Identifiers | NPI Number: 1295253573 PECOS PAC ID: 5395271803 Enrollment ID: I20241206003241  | 
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