Stacy Laskin Gillen (NPI# 1891100467, PAC ID# 5991045486) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1891100467 |
| PAC ID by PECOS | 5991045486 |
| Professional Enrollment ID | I20190320000702 |
| Full Name | Stacy Laskin Gillen |
| Organization Legal Name | PROJECT CHESAPEAKE, LLC |
| Address |
5710 Ritchie Hwy Brooklyn Park MD 21225-3641 |
| Phone Number | 4106365600 |
| Gender | F |
| Graduation Year | 2013 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2769603034 |
| Number of Group Practice Members | 8 |
| Accepts Medicare Assignment | M |
| Address | Phone | Organization |
|---|---|---|
| 34 Defense St, Suite 001, Annapolis, MD 21401-3577 | 4432145097 | PROJECT CHESAPEAKE, LLC |
| 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 | 4106365600 | PROJECT CHESAPEAKE, LLC |
| Organization Legal Name | PROJECT CHESAPEAKE, LLC |
| Physicians | 8 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Brittany Guy Van Devander | Clinical Social Worker | Project Chesapeake, LLC | 1101 N Point Boulevard, Suite 124, Essex, MD 21224 |
| Christina Renee Simmons | Clinical Social Worker | Project Chesapeake, LLC | 1308 Business Ctr Way, Suite 102, Edgewood, MD 21040-1504 |
| Rebecca Trott | Clinical Social Worker | Project Chesapeake, LLC | 69 Sherry Ln, Prince Frederick, MD 20678-3231 |
| Joy A Yelton | Clinical Social Worker | Project Chesapeake, LLC | 21 Industrial Park Dr, Suite 104d, Waldorf, MD 20602-2751 |
| Reginald Jay Brice | Clinical Social Worker | Project Chesapeake, LLC | 202 Coursevall Dr, Suite 104, Centreville, MD 21617-2805 |
| Titilayo Akinsola | Nurse Practitioner | Project Chesapeake, LLC | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 |
| Hannah J Ong | Psychiatry | Project Chesapeake, LLC | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 |
| Street Address |
5710 RITCHIE HWY |
| City | BROOKLYN PARK |
| State | MD |
| Zip | 21225-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Titilayo Akinsola | Nurse Practitioner | Project Chesapeake, LLC | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 |
| Hannah J Ong | Psychiatry | Project Chesapeake, LLC | 5710 Ritchie Hwy, Brooklyn Park, MD 21225-3641 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Rosita R Cruz | Internal Medicine | Management,marketing,medical,and Accounting Services LLC. | 501 Cherry Hill Rd, Baltimore, MD 21225-1211 |
| Francine Higgs-shipman | Internal Medicine | Family Health Centers of Baltimore Inc | 631 Cherry Hill Rd, Baltimore, MD 21225-1228 |
| Frank H Diggs | Nurse Practitioner | Family Health Centers of Baltimore Inc | 631 Cherry Hill Rd, Baltimore, MD 21225-1228 |
| Gloria Reeves | Psychiatry | University of Maryland Psychiatry Associates Pa | 631 Cherry Hill Rd, Baltimore, MD 21225-1228 |
| Milford H Marchant Jr. | Sports Medicine | Medstar Medical Group II LLC | 2900 S Hanover St, Medstar Harbor Orthopaedics, Baltimore, MD 21225-1232 |
| Walter Chad Hembree | Orthopedic Surgery | Medstar Medical Group II LLC | 2900 S Hanover St, Medstar Harbor Orthopaedics, Baltimore, MD 21225-1232 |
| Shelton C Simmons Iii | Orthopedic Surgery | Medstar Medical Group II LLC | 2900 S Hanover St, Medstar Harbor Orthopaedics, Baltimore, MD 21225-1232 |
| Lisa Dimarzio | Internal Medicine | Medstar Medical Group II LLC | 3001 S Hanover St, Suite 300, Baltimore, MD 21225-1233 |
| Afroze Muneer | Internal Medicine | Medstar Harbor Hospital Physicians LLC | 3001 S Hanover St, Baltimore, MD 21225-1233 |
| Alicia D Hughes | Anesthesiology | Medstar Medical Group Anesthesiology LLC | 3001 S Hanover St, Mmg Anesthesiology At Mhh, Baltimore, MD 21225-1233 |
| Find all physicians in zip 21225 | |||
| City | BROOKLYN PARK |
| Zip Code | 21225 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | BROOKLYN PARK + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on Stacy Laskin Gillen.
| 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.