Doctor Name: | MARSHA ANDRE |
NPI Number: | 1194838508 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MSW, LCSW-C |
License Number: | 12511 |
Business Practice Address: | 14230 Forsythe Road Sykesville, MD - 21784 |
Business Phone Number: | 4438125976 |
Business Fax Number: | 3019891640 |
Mailing Address: | 14230 Forsythe Road, SYKESVILLE |
State: | MD |
Postal Code: | 21784 |
Phone Number: | 4438125976 |
Fax Number: | 3019891640 |
NPI Enumeration Date: | 08/17/2006 |
NPI Last Update Date: | 07/21/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12511 |
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 |