Individual
JEANNETTE KATHLEEN BUCHANAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSW-C
Contact information
Practice address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-3420
(410) 341-3397
Mailing address
505 E MAIN ST, SALISBURY, MD 21804-5020
(410) 341-3420
(410) 341-3397
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904008007
VA
1041C0700X
Clinical Social Worker
Primary
20426
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
259147-000
MAGELLAN BEHAVIORAL HEALTH
MD
01
—
346646
MHN/TRICARE
MD
01
—
517251
OPTUM/UBH
MD
01
—
7840093
AETNA
MD
05
—
800019820
—
MD
01
—
LM49EA
CAREFIRST
MD
01
—
R968
CAREFIRST HMO
MD
Enumeration date
09/28/2012
Last updated
05/03/2019
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