Cardaci, Michael D

Cardaci, Michael D is an sole proprietor health care provider with primary practice located at 650 Ritchie Hwy Suite 207, Severna Park MD 21146-3916. He recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is his primary health care specialty. Cardaci, Michael D can be contacted via phone (410) 714-1720.

Contact Information

Primary practice address
650 Ritchie Hwy Suite 207 Severna Park MD 21146-3916
Phone: (410) 714-1720
Fax: (410) 741-3343
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X LC2621 Maryland
Behavioral Health & Social Service Providers / Professional 101YP2500X LC2621 Maryland
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LC2621 Maryland

Profile Details

NPI number 1619938107
LBN Legal business name Cardaci, Michael D
Credentials LCPC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 1st, 2006
Last updated Jun 13th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1619938107 NPPES
Maryland MEDICAID 774800100

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