Doctor Name: | MRS. CICELY KENDA BURROWS-MCELWAIN |
NPI Number: | 1245562065 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW-C, BCD |
License Number: | 12985 |
Business Practice Address: | 27197 Pinebrook Ter Hebron, MD - 218301179 |
Business Phone Number: | 4108608035 |
Business Fax Number: | |
Mailing Address: | 27197 Pinebrook Ter, HEBRON |
State: | MD |
Postal Code: | 218301179 |
Phone Number: | 4108608035 |
Fax Number: | |
NPI Enumeration Date: | 02/03/2010 |
NPI Last Update Date: | 02/03/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 12985 |
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 |