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NPI Code Detail

MEDICARE: REBECCA CUMBERLAND

MEDICARE: REBECCA CUMBERLAND
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 Worker26323MD

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1770196248
Entity Type Code : Individual
Provider Name (Legal Business Name) : REBECCA CUMBERLAND
Provider Business Mailing Address
First Line : 7132 COLLINGWOOD CT
Second Line :
City : ELKRIDGE
State : MD
Zip : 21075-5548
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8181 MAIN ST APT 2
Second Line :
City : ELLICOTT CITY
State : MD
Zip : 21043-4929
Country : US
Telephone Number : 757-651-3001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/25/2020
Last Update Date : 08/25/2020

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Directions to “ REBECCA CUMBERLAND ” Practice Location

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