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NPI Code Detail

MEDICARE: PROJECT CHESAPEAKE, LLC

MEDICARE: PROJECT CHESAPEAKE, LLC
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
11041C0700XClinical Social Worker
2251S00000XCommunity/Behavioral Health Agency

General Provider Information

NPI Number : 1619328630
Entity Type Code : Organization
Provider Name (Legal Business Name) : PROJECT CHESAPEAKE, LLC
Provider Business Mailing Address
First Line : 185 ADMIRAL COCHRANE DR STE 120
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21401-7600
Country : US
Telephone Number : 443-440-5780
Fax Number :
Provider Business Practice Location Address
First Line : 111 E MAIN ST
Second Line : SUITE B
City : ELKTON
State : MD
Zip : 21921-5996
Country : US
Telephone Number : 443-306-1791
Fax Number :
Authorized Official
Title or Position : PARTNER
Name : JOSEPH ROGERS
Credential :
Telephone Number : 443-440-5780
Provider Enumeration Date : 06/30/2016
Last Update Date : 03/26/2024

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Directions to “PROJECT CHESAPEAKE, LLC ” Practice Location

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