| Tammy Spengler, Lcsw-c, Llc | |
|
5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3259 | |
| (443) 248-3437 | |
| (410) 884-6910 |
| Full Name | Tammy Spengler, Lcsw-c, Llc |
|---|---|
| Speciality | Counselor |
| Location | 5457 Twin Knolls Rd Ste 300, Columbia, Maryland |
| Authorized Official Name and Position | Tammy Jane Spengler (OWNER) |
| Authorized Official Contact | 4432483437 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Tammy Spengler, Lcsw-c, Llc 5218 Wood Stove Ln Columbia MD 21045-1915 Ph: (443) 248-3437 | Tammy Spengler, Lcsw-c, Llc 5457 Twin Knolls Rd Ste 300 Columbia MD 21045-3259 Ph: (443) 248-3437 |
| NPI Number | 1174010136 |
|---|---|
| Provider Enumeration Date | 04/16/2018 |
| Last Update Date | 06/16/2018 |
| Medicare PECOS PAC ID | 8628332764 |
|---|---|
| Medicare Enrollment ID | O20180426000514 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174010136 | NPI | - | NPPES |
| 446210600 | Medicaid | MD |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | 09953 (Maryland) | Primary |
| Provider Name | Tammy J Spengler |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1174849921 PECOS PAC ID: 7315106531 Enrollment ID: I20120307000819 |
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