Kathleen Maycock (NPI# 1659550507, PAC ID# 8921349069) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1659550507 |
| PAC ID by PECOS | 8921349069 |
| Professional Enrollment ID | I20190417002930 |
| Full Name | Kathleen Maycock |
| Organization Legal Name | COMMUNITY BEHAVIORAL HEALTH LLC |
| Address |
426 Dorchester Ave Cambridge MD 21613-2446 |
| Phone Number | 4102283929 |
| Gender | F |
| Graduation Year | 1996 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 2567693849 |
| Number of Group Practice Members | 10 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 426 Dorchester Ave, Cambridge, MD 21613-2446 | 4102283929 | COMMUNITY BEHAVIORAL HEALTH LLC |
| Organization Legal Name | COMMUNITY BEHAVIORAL HEALTH LLC |
| Physicians | 11 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lashawanda Leslie-bulter | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Gabriel Rivera Torres | Nurse Practitioner | Community Behavioral Health LLC | 3501 Del Prado Blvd S, Suite 303, Cape Coral, FL 33904-7222 |
| Suni N Jani | Psychiatry | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Sushma N Jani | Psychiatry | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Stephanie Kay Dudley | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Patti Dudley | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Theresa Huffines | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Miguel A Diaz | Nurse Practitioner | Community Behavioral Health LLC | 3501 Del Prado Blvd S, Suite 303, Cape Coral, FL 33904-7222 |
| Millicent M Handy | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Lesley A Todd | Nurse Practitioner | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Street Address |
426 DORCHESTER AVE |
| City | CAMBRIDGE |
| State | MD |
| Zip | 21613-2446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Lashawanda Leslie-bulter | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Suni N Jani | Psychiatry | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Sushma N Jani | Psychiatry | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Stephanie Kay Dudley | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Patti Dudley | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Theresa Huffines | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Millicent M Handy | Clinical Social Worker | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Lesley A Todd | Nurse Practitioner | Community Behavioral Health LLC | 426 Dorchester Ave, Cambridge, MD 21613-2446 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Maureen A Jacobs | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Julia R Strong | Nurse Practitioner | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Anna M Pokrywka | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Paula Turner | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Catherine Proa | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Sherri J Hitchcock | Clinical Social Worker | Corsica River Mental Health Services, Inc. | 502 Poplar St, Cambridge, MD 21613-1834 |
| Pamela A Schulte | Clinical Social Worker | 403 Race St, Cambridge, MD 21613-1835 | |
| Paul D Brant | Optometry | Easton Optical, LLC | 401 Race St, Cambridge, MD 21613-1835 |
| Jasmine Nicole Jordan | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Douglas J Hamsher | Physician Assistant | Choptank Community Health System Inc | 503 Muir St, Suite A, Cambridge, MD 21613-1848 |
| Find all physicians in zip 21613 | |||
| City | CAMBRIDGE |
| Zip Code | 21613 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | CAMBRIDGE + 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.