Louis Franklin Ahalt Jr., MSW
Individual provider Active NPI Clinical Social Worker · Hagerstown, MD
NPI 1497822944 · NPPES record last updated Dec 27, 2018
Key facts
- NPI
- 1497822944
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 04986 (MD)
- Practice address
- 1140 Opal CT
Hagerstown, MD 21740-5940 - Phone
- (301) 790-1560
- Fax
- (301) 790-1666
- NPI assigned
- Nov 29, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 04986 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 04986 | MD | Yes |
Addresses
Primary practice location
1140 Opal CT
Hagerstown, MD 21740-5940
Mailing address
1140 Opal CT
Hagerstown, MD 21740-5940
Phone (301) 790-1560
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 002860 | Other | VALUE OPTIONS PROVIDER NO | |
| 325085 | Other | MD | M.D. IPA PIN |
| 100027640001 | Other | MD | APS HEALTHCARE PIN |
| R036 0001 | Other | MD | CAREFIRST BCBS FEP PIN |
| 7680030 | Other | MD | AETNA PIN |
Other providers in Hagerstown, MD
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- After Hours Pediatrics
- Dawn A Agostini
- Kalim Ahmed
- Tayo Khadijat Ahmed
- Urooj Ahmed
- Yusra R Ahmed
- Satinder Ajrawat
All providers in Hagerstown, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 27, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.