MEDICARE: KEMAHN MAURICE JONES LMSW

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	1041C0700X	Clinical Social Worker	31706	MD

General Provider Information

NPI Number	:	1992586721
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KEMAHN MAURICE JONES LMSW

Provider Business Mailing Address
First Line	:	100 CHURCH LN # 204
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3705
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	100 CHURCH LN # 204
Second Line	:
City	:	PIKESVILLE
State	:	MD
Zip	:	21208-3705
Country	:	US
Telephone Number	:	443-836-5793
Fax Number	:

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

Provider Enumeration Date	:	10/09/2023
Last Update Date	:	07/22/2024

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