Amber L Wallace (NPI# 1043612872, PAC ID# 4587986088) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1043612872 |
| PAC ID by PECOS | 4587986088 |
| Professional Enrollment ID | I20141212000924 |
| Full Name | Amber L Wallace |
| Organization Legal Name | EASTERN SHORE PSYCHOLOGICAL SERVICES LLC |
| Address |
11120 Somerset Ave Princess Anne MD 21853-2970 |
| Phone Number | 4103346961 |
| Gender | F |
| Graduation Year | 2014 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 5294729950 |
| Number of Group Practice Members | 32 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 11120 Somerset Ave, Princess Anne, MD 21853-2970 | 4103346961 | EASTERN SHORE PSYCHOLOGICAL SERVICES LLC |
| Organization Legal Name | EASTERN SHORE PSYCHOLOGICAL SERVICES LLC |
| Physicians | 29 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Ovais Khalid | Psychiatry | Eastern Shore Psychological Services LLC | 1113 Healthway Dr, Salisbury, MD 21804-4470 |
| Paul J Washo | Clinical Social Worker | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| James O'neil Siegman | Clinical Social Worker | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Wendy L Holder | Clinical Social Worker | Eastern Shore Psychological Services LLC | 1113 Healthway Dr, Salisbury, MD 21804-4470 |
| Mary K Seifert | Psychologist, Clinical | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Valerie Jane Getsinger | Clinical Social Worker | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Sandra A Johnson | Clinical Social Worker | Eastern Shore Psychological Services LLC | 1113 Healthway Dr, Salisbury, MD 21804-4470 |
| Jessica N Palmen | Clinical Social Worker | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Amy Nicole Nicholson | Clinical Social Worker | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Ralph S Wolf | Psychiatry | Eastern Shore Psychological Services LLC | 29520 Canvasback Dr, Easton, MD 21601-7124 |
| Street Address |
11120 SOMERSET AVE |
| City | PRINCESS ANNE |
| State | MD |
| Zip | 21853-2970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shirley J Bruner | Clinical Social Worker | Eastern Shore Psychological Services LLC | 11120 Somerset Ave, Princess Anne, MD 21853-2970 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Jennifer E Wheeler | Clinical Social Worker | 30632 Hampden Ave, Princess Anne, MD 21853-1009 | |
| Valerie Lewis | Clinical Social Worker | 11672 Somerset Ave, Princess Anne, MD 21853-1136 | |
| Katerina B Todorov | Internal Medicine | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Gabrielle E Gill | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Jane N Iwebo | Nurse Practitioner | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Karri L Washbon | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Juan C Zelaya | Physician Assistant | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Shannon N Biesterfeld | Certified Nurse Midwife (cnm) | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Eliza Claire M Harper | Certified Nurse Midwife | Three Lower Counties Community Services Inc | 12137 Elm St, Princess Anne, MD 21853-1358 |
| Charles B Hofmann | Internal Medicine | Princess Anne Family Practice | 30434 Mount Vernon Rd, Princess Anne, MD 21853-1400 |
| Find all physicians in zip 21853 | |||
| City | PRINCESS ANNE |
| Zip Code | 21853 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | PRINCESS ANNE + 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.