Advance Counseling Services LLC

Organization Active NPI Clinical Social Worker · Solomons, MD

NPI 1942516232 · NPPES record last updated Nov 8, 2010

Key facts

NPI
1942516232
Entity type
Organization (NPI type 2)
Primary specialty
Clinical Social Worker 1041C0700X
License
13357 (MD)
Legal business name
ADVANCE COUNSELING SERVICES LLC
Practice address
14350 Solomons Island Road
Suite 202 a
Solomons, MD 20688
Phone
(410) 326-2333
Fax
(410) 326-6868
NPI assigned
Aug 24, 2010
Organization subpart
No

Authorized official

Name
Mr. Salvatore Dioguardi, LCSW-C
Title
Clinical Director
Phone
(410) 326-2333

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in MD

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20110601000043 MD Part B Supplier - Clinic/Group Practice 7416134473 Receives reassigned benefits from 1 practitioner
Practice locations: Solomons, MD

National Provider Directory

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker
Group: 193200000X MULTI-SPECIALTY GROUP
1041C0700X 13357 MD Yes

Addresses

Primary practice location

14350 Solomons Island Road
Suite 202 a
Solomons, MD 20688

Mailing address

PO Box 860
Suite 202a
Solomons, MD 20688-0860
Phone (410) 326-2333

Other providers in Solomons, MD

All providers in Solomons, MD · Clinical Social Worker in Maryland

Sources for this page

Verify at the official NPI Registry.