| Stacy Stoddard, Lcmft And Associates, P.a. | |
|
602 Providence Rd Towson MD 21286-5503 | |
| (410) 583-7443 | |
| (410) 583-0711 |
| Full Name | Stacy Stoddard, Lcmft And Associates, P.a. |
|---|---|
| Speciality | Social Worker |
| Location | 602 Providence Rd, Towson, Maryland |
| Authorized Official Name and Position | Stacy Stoddard (OWNER) |
| Authorized Official Contact | 4432210366 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Stacy Stoddard, Lcmft And Associates, P.a. 602 Providence Rd Towson MD 21286-5503 Ph: (410) 583-7443 | Stacy Stoddard, Lcmft And Associates, P.a. 602 Providence Rd Towson MD 21286-5503 Ph: (410) 583-7443 |
| NPI Number | 1689897928 |
|---|---|
| Provider Enumeration Date | 04/11/2007 |
| Last Update Date | 10/10/2025 |
| Certification Date | 10/10/2025 |
| Medicare PECOS PAC ID | 7315000114 |
|---|---|
| Medicare Enrollment ID | O20090105000506 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689897928 | NPI | - | NPPES |
| KM48 | Other | MD | CAREFIRST BCBS |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (Maryland) | Primary |
| Provider Name | Ruth Bohlman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1366550840 PECOS PAC ID: 5294898094 Enrollment ID: I20090105000526 |
| Provider Name | Linda T Beam |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1720196280 PECOS PAC ID: 5799848701 Enrollment ID: I20090116000041 |
| Provider Name | Katherine M Will |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1619509015 PECOS PAC ID: 7214393495 Enrollment ID: I20230512001262 |
| Provider Name | Cintra B Harbold |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1790317063 PECOS PAC ID: 0547618647 Enrollment ID: I20240130000969 |
| Provider Name | Shelley Driskell |
|---|---|
| Provider Type | Practitioner - Mental Health Counselor |
| Provider Identifiers | NPI Number: 1255723227 PECOS PAC ID: 3375985369 Enrollment ID: I20240522001310 |
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