| The Mental Health Center Of Western Maryland, Inc. | |
|
1180 Professional Ct Hagerstown MD 21740-5852 | |
| (301) 791-3045 | |
| (240) 313-3071 |
| Full Name | The Mental Health Center Of Western Maryland, Inc. |
|---|---|
| Speciality | Social Worker |
| Location | 1180 Professional Ct, Hagerstown, Maryland |
| Authorized Official Name and Position | Mark R Lannon (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 3017913045 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Mental Health Center Of Western Maryland, Inc. 1180 Professional Ct Hagerstown MD 21740-5852 Ph: (301) 791-3045 | The Mental Health Center Of Western Maryland, Inc. 1180 Professional Ct Hagerstown MD 21740-5852 Ph: (301) 791-3045 |
| NPI Number | 1104871946 |
|---|---|
| Provider Enumeration Date | 05/23/2006 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 9335040443 |
|---|---|
| Medicare Enrollment ID | O20040120000634 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104871946 | NPI | - | NPPES |
| Provider Name | Constance A Anton |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1679656904 PECOS PAC ID: 2062600182 Enrollment ID: I20101216000064 |
| Provider Name | Syyeda F Syed |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1316167547 PECOS PAC ID: 6507931797 Enrollment ID: I20120524000233 |
| Provider Name | Ashley Eshleman |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851537187 PECOS PAC ID: 7315195880 Enrollment ID: I20120907000551 |
| Provider Name | Cornelia E Barron |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1043508849 PECOS PAC ID: 8921258641 Enrollment ID: I20121015000467 |
| Provider Name | Lori A Close |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1235535618 PECOS PAC ID: 6709109895 Enrollment ID: I20141222000842 |
| Provider Name | Janine E Reynolds |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669759320 PECOS PAC ID: 2264714468 Enrollment ID: I20170124001248 |
| Provider Name | Kelly F Williams |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1669946984 PECOS PAC ID: 1557603925 Enrollment ID: I20190506000163 |
| Provider Name | Tammy Sherrard |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023571031 PECOS PAC ID: 0446593727 Enrollment ID: I20190530001891 |
| Provider Name | Angela P House |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659926400 PECOS PAC ID: 1759613995 Enrollment ID: I20191021003249 |
| Provider Name | Karin M Escalante |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811122286 PECOS PAC ID: 2264846070 Enrollment ID: I20210205000437 |
| Provider Name | Desirae Mehaffie |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1023663374 PECOS PAC ID: 9234543067 Enrollment ID: I20210205001514 |
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