Organization
JEWISH SOCIAL SERVICE AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. CAROL PARKER-PEREZ (CHIEF FINANCIAL OFFICER)
(301) 838-4200
Entity
Organization
Contact information
Practice address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Mailing address
200 WOOD HILL RD, ROCKVILLE, MD 20850-8724
(301) 838-4200
(301) 309-2596
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
—
—
103T00000X
Psychologist
Primary
—
—
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100490
KAISER
MD
05
—
416081900
—
MD
01
—
5899245
AETNA
MD
01
—
A284
BCBS OF DC
DC
01
—
H564JE
BCBS OF MD
MD
Enumeration date
10/24/2008
Last updated
02/23/2010
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