| Uplift Behavioral Health Pc | |
|
4800 Hampden Ln Ste 200b Bethesda MD 20814-2930 | |
| (202) 932-7607 | |
| Not Available |
| Full Name | Uplift Behavioral Health Pc |
|---|---|
| Speciality | Clinic/Center |
| Location | 4800 Hampden Ln Ste 200b, Bethesda, Maryland |
| Authorized Official Name and Position | Yavar Moghimi (OWNER) |
| Authorized Official Contact | 5712285031 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Uplift Behavioral Health Pc 85 5th Ave Fl 8 New York NY 10003-3019 Ph: () - | Uplift Behavioral Health Pc 4800 Hampden Ln Ste 200b Bethesda MD 20814-2930 Ph: (202) 932-7607 |
| NPI Number | 1629740410 |
|---|---|
| Provider Enumeration Date | 09/30/2021 |
| Last Update Date | 06/07/2023 |
| Certification Date | 06/07/2023 |
| Medicare PECOS PAC ID | 4688057086 |
|---|---|
| Medicare Enrollment ID | O20220817003644 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629740410 | NPI | - | NPPES |
| Provider Name | David E Kiwanuka Lubega |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1740600162 PECOS PAC ID: 6800102740 Enrollment ID: I20150908002707 |
| Provider Name | Joseph Melendez |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699272690 PECOS PAC ID: 9931534823 Enrollment ID: I20200123000862 |
| Provider Name | Denetra Gary |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1700338886 PECOS PAC ID: 7113204579 Enrollment ID: I20210802001766 |
| Provider Name | Tara S Bowles |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477820546 PECOS PAC ID: 3375862311 Enrollment ID: I20220518001666 |
| Provider Name | Charley Rowynne Uttal Goldman |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1568010924 PECOS PAC ID: 0345623864 Enrollment ID: I20220817000058 |
| Provider Name | Clare Savage Bolek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1275113888 PECOS PAC ID: 8022492685 Enrollment ID: I20220831000056 |
| Provider Name | Jessica Hershey Martin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1659642676 PECOS PAC ID: 4385029651 Enrollment ID: I20220922002454 |
| Provider Name | Elizabeth L Spotts |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1417094442 PECOS PAC ID: 6406231711 Enrollment ID: I20220923002357 |
| Provider Name | Alicia D Sellitti |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1861067159 PECOS PAC ID: 0143606202 Enrollment ID: I20220928000219 |
| Provider Name | Elizabeth Crouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487175469 PECOS PAC ID: 5193101673 Enrollment ID: I20221006002139 |
| Provider Name | Jessica Marie Rittenhouse |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1346816451 PECOS PAC ID: 1355727835 Enrollment ID: I20221006002203 |
| Provider Name | Carmella Long |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1245537679 PECOS PAC ID: 2961800289 Enrollment ID: I20221018001643 |
| Provider Name | Donna Sue Zientek |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1003402066 PECOS PAC ID: 1456727858 Enrollment ID: I20221026000016 |
| Provider Name | Jennifer Wolsin |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1811307895 PECOS PAC ID: 0840666517 Enrollment ID: I20221122001058 |
| Provider Name | Dawn Head |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1487046710 PECOS PAC ID: 7315988219 Enrollment ID: I20221208001364 |
| Provider Name | Lyndsay J Larocca |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1831828995 PECOS PAC ID: 6406228212 Enrollment ID: I20230203001723 |
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