MEDICARE: TIAHNA PANTOVICH

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	28777	MD

General Provider Information

NPI Number	:	1205554045
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TIAHNA PANTOVICH

Provider Business Mailing Address
First Line	:	1406 N BOND ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21213-2903
Country	:	US
Telephone Number	:	571-499-2767
Fax Number	:

Provider Business Practice Location Address
First Line	:	5820 YORK RD STE 201
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-3620
Country	:	US
Telephone Number	:	410-800-2169
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/18/2022
Last Update Date	:	08/18/2022

Similar Medicare Providers

1407960032 — STEVEN ALLEN BLACKWELL PH.D., J.D., R.PH.
Practice Location Address:

7500 SECURITY BLVD # C3-20-17 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244-1849

Practice Phone: 410-786-6852
Practice Fax:

1396961561 — DR. MARSHA SMITH MD
Practice Location Address:

7500 SECURITY BOULEVARD , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21201-2301

Practice Phone: 410-786-6614
Practice Fax:

1134335441 — JULIE DAWN PREIS
Practice Location Address:

7500 SECURITY BLVD MS C1-13-07 , CENTERS FOR MEDICARE & MEDICAID SERVICES
BALTIMORE, MD
21244

Practice Phone: 410-786-0525
Practice Fax:

1922068196 — TOTAL RENAL CARE INC
Practice Location Address:

5820 YORK RD , STE 10
BALTIMORE, MD
21212-3620

Practice Phone: 410-532-9311
Practice Fax: 410-532-5833

1629288220 — MS. JAIME GAUDET M.S.
Practice Location Address:

5820 YORK RD STE 201
BALTIMORE, MD
21212-3620

Practice Phone: 410-800-2169
Practice Fax: 410-777-8742

1841442530 — BRENDA JO D'ANTONI LCSW-C
Practice Location Address:

5820 YORK RD STE 201
BALTIMORE, MD
21212-3620

Practice Phone: 410-800-2169
Practice Fax:

1548509417 — GRETCHEN SCOTT LCSW-C
Practice Location Address:

5820 YORK RD STE 201
BALTIMORE, MD
21212-3620

Practice Phone: 410-459-6486
Practice Fax:

Directions to “ TIAHNA PANTOVICH ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.