Doctor Name: | ANDREA LYNN COMMARATA |
NPI Number: | 1104918168 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW C |
License Number: | 02856 |
Business Practice Address: | 10400 Ridgland Road Ste 1 Cockeysville, MD - 21030 |
Business Phone Number: | 4106286120 |
Business Fax Number: | 4106289825 |
Mailing Address: | 10400 Ridgland Road, Ste 1 COCKEYSVILLE |
State: | MD |
Postal Code: | 21030 |
Phone Number: | 4106286120 |
Fax Number: | 4106289825 |
NPI Enumeration Date: | 09/28/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 02856 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |