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:
Health care specialties
Specialty | Code | License # | 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 last year |
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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1619938107 | NPPES |
Maryland | MEDICAID | 774800100 |
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