Healthcare Provider Details

I. General information

NPI: 1821929407
Provider Name (Legal Business Name): MARGARET CARMACK
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/25/2026
Last Update Date: 05/25/2026
Certification Date: 05/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2007 TIDEWATER COLONY DR STE 1A
ANNAPOLIS MD
21401-2102
US

IV. Provider business mailing address

1348 BLACKWALNUT CT
ANNAPOLIS MD
21403-4641
US

V. Phone/Fax

Practice location:
  • Phone: 410-271-5501
  • Fax:
Mailing address:
  • Phone: 410-271-5501
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: