MEDICARE: MRS. ANNE VESHECCO MAJERIK LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	13649	MD

General Provider Information

NPI Number	:	1780672584
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. ANNE VESHECCO MAJERIK LCSW-C

Provider Business Mailing Address
First Line	:	7401 STANMORE CT
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21212-1129
Country	:	US
Telephone Number	:	410-853-7117
Fax Number	:	410-529-1342

Provider Business Practice Location Address
First Line	:	8615 RIDGELYS CHOICE DR
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-3026
Country	:	US
Telephone Number	:	410-529-2151
Fax Number	:	410-529-1342

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/06/2005
Last Update Date	:	10/29/2008

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