MEDICARE: BARBARA MARABLE SMITH M.ED

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	101YA0400X	Addiction (Substance Use Disorder) Counselor	LCA043	MD
2	101YP2500X	Professional Counselor	LC0380	MD

General Provider Information

NPI Number	:	1942226873
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BARBARA MARABLE SMITH M.ED

Provider Business Mailing Address
First Line	:	7821 CROSSBAY DR
Second Line	:
City	:	SEVERN
State	:	MD
Zip	:	21144-1660
Country	:	US
Telephone Number	:	410-519-5797
Fax Number	:

Provider Business Practice Location Address
First Line	:	3013 E FEDERAL ST
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21213-3911
Country	:	US
Telephone Number	:	410-519-5797
Fax Number	:

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

Provider Enumeration Date	:	07/14/2006
Last Update Date	:	09/11/2025

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