| Serenity Place, Llc | |
|
22655 Washington St Leonardtown MD 20650-3848 | |
| (301) 690-8008 | |
| Not Available |
| Full Name | Serenity Place, Llc |
|---|---|
| Speciality | Community/Behavioral Health |
| Location | 22655 Washington St, Leonardtown, Maryland |
| Authorized Official Name and Position | Esther Vanderwal (PRESIDENT) |
| Authorized Official Contact | 3016908008 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Serenity Place, Llc Po Box 1831 Leonardtown MD 20650-1831 Ph: (301) 690-8008 | Serenity Place, Llc 22655 Washington St Leonardtown MD 20650-3848 Ph: (301) 690-8008 |
| NPI Number | 1467998468 |
|---|---|
| Provider Enumeration Date | 01/13/2017 |
| Last Update Date | 12/05/2023 |
| Certification Date | 12/05/2023 |
| Medicare PECOS PAC ID | 2860809480 |
|---|---|
| Medicare Enrollment ID | O20210327000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467998468 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Secondary |
| 251S00000X | Community/behavioral Health | 16047 (Maryland) | Primary |
| Provider Name | Esther Z Vanderwal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659751220 PECOS PAC ID: 8325349152 Enrollment ID: I20151219000022 |
| Provider Name | Megan Delora Taylor |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1376062240 PECOS PAC ID: 6406264548 Enrollment ID: I20210409001215 |
| Provider Name | Amanda Marie Leal |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912318734 PECOS PAC ID: 5597173286 Enrollment ID: I20210419001009 |
| Provider Name | Molly Jane Bowes |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609473057 PECOS PAC ID: 4082022785 Enrollment ID: I20210419001294 |
| Provider Name | Arlee Howell Pingitore Buchanan |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740754134 PECOS PAC ID: 9739597378 Enrollment ID: I20210420000533 |
| Provider Name | Delaney Madden |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912678814 PECOS PAC ID: 4981056900 Enrollment ID: I20240116001011 |
| Provider Name | Allison Grace Maratta |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1912504549 PECOS PAC ID: 2769839729 Enrollment ID: I20240206002361 |
Project Chesapeake, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 26845 Point Lookout Rd Ste 1, Leonardtown, MD 20650 Phone: 240-309-4015 | |
Sarah J Woodward, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22530 Washington St, Suite 4, Leonardtown, MD 20650 Phone: 240-561-9559 Fax: 240-718-2097 | |
Cornerstone Montgomery, Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41900 Fenwick St Ste 5, Leonardtown, MD 20650 Phone: 301-475-9315 Fax: 301-475-9317 | |
Billye Mcgaharn, Psychotherapist Center, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 22660 Washington Street, Leonardtown, MD 20650 Phone: 301-475-2020 Fax: 301-475-2102 | |
Cleary Psychotherapy & Consulting, Llc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41620 Courthouse Drive, Suite 7, Leonardtown, MD 20650 Phone: 443-968-4989 Fax: 301-475-5738 | |
Summit Clinical Services, Llc Mental Health Clinic Medicare: Medicare Enrolled Practice Location: 25484 Point Lookout Rd, Suite 302 B, Leonardtown, MD 20650 Phone: 301-475-7822 Fax: 301-475-7822 | |
Center For Children Inc. Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 41900 Fenwick St Ste 1, Leonardtown, MD 20650 Phone: 301-475-8860 Fax: 301-475-3843 |