| 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 | 02/11/2026 |
| Certification Date | 02/11/2026 |
| Medicare PECOS PAC ID | 2860809480 |
|---|---|
| Medicare Enrollment ID | O20210327000107 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467998468 | NPI | - | NPPES |
| 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 | 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 | 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 |
| Provider Name | Noelle Adami |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1154633352 PECOS PAC ID: 4082151170 Enrollment ID: I20240807001894 |
| Provider Name | Lucy Russell |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1013558303 PECOS PAC ID: 3678012945 Enrollment ID: I20240830000062 |
| Provider Name | Katelyn Cecilia Jensen |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1518533686 PECOS PAC ID: 6901346766 Enrollment ID: I20240906002793 |
| Provider Name | Linda Sue Ball |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1093427965 PECOS PAC ID: 4486188364 Enrollment ID: I20241114002661 |
| Provider Name | Jeneil Jones |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1053059931 PECOS PAC ID: 3971038852 Enrollment ID: I20241202002359 |
| Provider Name | Arianne L Riebel |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1578335436 PECOS PAC ID: 5698209617 Enrollment ID: I20241230003561 |
| Provider Name | Matthew S Schultz |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1801468228 PECOS PAC ID: 1254784036 Enrollment ID: I20250106000916 |
| Provider Name | Reata Gene Douglas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1649015660 PECOS PAC ID: 9931638400 Enrollment ID: I20250128004979 |
| Provider Name | Romie Christine Juarez-peacher |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1558184341 PECOS PAC ID: 9032630546 Enrollment ID: I20250312002158 |
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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 | |
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