Individual
MRS. JILL MARIE CAMM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LCSWC MSW
Contact information
Practice address
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
(410) 760-1121
Mailing address
30 GREENWAY ST NW STE 5, GLEN BURNIE, MD 21061-3557
(410) 760-9079
(410) 760-1121
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
07469
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0001
BLUE SHIELD FEDERAL
—
01
—
10761817
CAQH
—
01
—
155621
VALUE OPTIONS AND GREAT W
—
01
—
175115
MHN AND TRICARE
—
01
—
230012000
MAGELLAN BEHAVIORAL HEALT
—
01
—
355594
MAMSI UNITED HEALTH CARE
—
01
—
513263
NCPPO INNOVA MHIP
—
01
—
5211595
AETNA BEHAVIORAL HEALTH
—
01
—
522229157
PHCS
—
01
—
60366205
BLUE SHIELD OF MD
—
01
—
S003
BLUE SHIELD FEDERAL GROUP
—
Enumeration date
04/05/2006
Last updated
03/20/2018
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