Doctor Name: | MR. MICHAEL WARE |
NPI Number: | 1366462442 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW-C |
License Number: | 716301 |
Business Practice Address: | Us Dept Of Veterans Affairs Medical Center Community Care Program Perry Point, MD - 21902 |
Business Phone Number: | 4106421723 |
Business Fax Number: | |
Mailing Address: | 400 Webb Ln, HAVRE DE GRACE |
State: | MD |
Postal Code: | 210783725 |
Phone Number: | 4106421723 |
Fax Number: | |
NPI Enumeration Date: | 07/20/2006 |
NPI Last Update Date: | 07/12/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 716301 |
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 |