Jerren Emerson Pellicano (NPI# 1588189047, PAC ID# 5092071258) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1588189047 |
| PAC ID by PECOS | 5092071258 |
| Professional Enrollment ID | I20171106000372 |
| Full Name | Jerren Emerson Pellicano |
| Address |
139 Log Canoe Cir Stevensville MD 21666-2127 |
| Gender | F |
| Graduation Year | 1995 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 139 Log Canoe Cir, Stevensville, MD 21666-2127 | ||
| 155 Log Canoe Cir, Stevensville, MD 21666-2127 | 4106040226 | CHESAPEAKE BAY PSYCHOLOGICAL SERVICES LLC |
| Street Address |
139 LOG CANOE CIR |
| City | STEVENSVILLE |
| State | MD |
| Zip | 21666-2127 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Randall Bruce Minteer | Clinical Social Worker | 101 Log Canoe Cir, Suite F, Stevensville, MD 21666-2106 | |
| Don Schmitt | Clinical Social Worker | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Cynthia Agyeman-anane | Clinical Social Worker | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Dana L Demaso | Psychologist, Clinical | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Catherine Marie Smithmyer | Psychologist, Clinical | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Anne Lagor | Clinical Psychologist | Chesapeake Bay Psychological Services LLC | 155 Log Canoe Cir, Stevensville, MD 21666-2127 |
| Mark Hallen Flasar | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Suite 106, Stevensville, MD 21666-2132 |
| Simi Okuboye | Nurse Practitioner | Maryland Brain Spine and Pain LLC | 130 Love Point Rd, Stevensville, MD 21666-2132 |
| Michael N Peters | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Suite 106, Stevensville, MD 21666-2132 |
| Anthony J Calabrese | Gastroenterology | Anne Arundel Gastroenterology Associates, P.a. | 130 Love Point Rd, Stevensville, MD 21666-2132 |
| Find all physicians in zip 21666 | |||
| City | STEVENSVILLE |
| Zip Code | 21666 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | STEVENSVILLE + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Jerren Emerson Pellicano.
| 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.