Latoya M Nkongolo (NPI# 1487018354, PAC ID# 3577859339) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
Nation Provider ID (NPI) | 1487018354 |
PAC ID by PECOS | 3577859339 |
Professional Enrollment ID | I20161206000644 |
Full Name | Latoya M Nkongolo |
Organization Legal Name | WORK LIFE BEHAVIORAL HEALTH AND PROFESSIONAL TRAINING LLC |
Address |
7954 Baltimore Annapolis Blvd Suite 2d Glen Burnie MD 21060-8187 |
Phone Number | 4104876052 |
Gender | F |
Graduation Year | 2013 |
Primary Specialty | CLINICAL SOCIAL WORKER |
Group Practice PAC ID | 3476833609 |
Number of Group Practice Members | 2 |
Accepts Medicare Assignment | M |
Address | Phone | Organization |
---|---|---|
7954 Baltimore Annapolis Blvd, Suite 2d, Glen Burnie, MD 21060-8187 | 4104876052 | WORK LIFE BEHAVIORAL HEALTH AND PROFESSIONAL TRAINING LLC |
Organization Legal Name | WORK LIFE BEHAVIORAL HEALTH AND PROFESSIONAL TRAINING LLC |
Physicians | 3 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janine Fuertes Ramirez | Psychiatry | Work Life Behavioral Health and Professional Training LLC | 7954 Baltimore Annapolis Blvd, Suite 2d, Glen Burnie, MD 21060-8187 |
Mary Lou Maguire | Clinical Social Worker | Work Life Behavioral Health and Professional Training LLC | 7954 Baltimore Annapolis Blvd, Glen Burnie, MD 21060-8187 |
Street Address |
7954 BALTIMORE ANNAPOLIS BLVD SUITE 2D |
City | GLEN BURNIE |
State | MD |
Zip | 21060-8187 |
Name | Specialty | Organization | Address |
---|---|---|---|
Janine Fuertes Ramirez | Psychiatry | Work Life Behavioral Health and Professional Training LLC | 7954 Baltimore Annapolis Blvd, Suite 2d, Glen Burnie, MD 21060-8187 |
Joseph J Colella | Anesthesiology | 7954 Baltimore Annapolis Blvd, Suite 2c, Glen Burnie, MD 21060-8187 | |
Mary Lou Maguire | Clinical Social Worker | Work Life Behavioral Health and Professional Training LLC | 7954 Baltimore Annapolis Blvd, Glen Burnie, MD 21060-8187 |
Name | Specialty | Organization | Address |
---|---|---|---|
Ma Sarah C Remaneses | Physical Therapy | Mosaddegh Physical Therapy Inc | 7301 E Furnace Branch Rd, Suite A, Glen Burnie, MD 21060-7059 |
Mercy E Ijoma | Nurse Practitioner | Novus Pain Management LLC | 7355 E Furnace Branch Rd, Glen Burnie, MD 21060-7060 |
Jacquelyn Chrisana Jackson | Hospitalist | Mdics Rehabilitative Services LLC | 7355 E Furnace Branch Rd, Glen Burnie, MD 21060-7060 |
Ruben Reider | Internal Medicine | 7445 Furnance Branch Rd, Glen Burnie, MD 21060-7243 |
City | GLEN BURNIE |
Zip Code | 21060 |
Specialty | CLINICAL SOCIAL WORKER |
City + Specialty | GLEN BURNIE + CLINICAL SOCIAL WORKER |
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Data Provider | Centers for Medicare & Medicaid Services (CMS) |
Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.