Healthcare Provider Details

I. General information

NPI: 1366572463
Provider Name (Legal Business Name): ALLISON MARIE SCURCI LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/07/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9730 HEALTHWAY DR
BERLIN MD
21811-1154
US

IV. Provider business mailing address

13 SPRUCE CT
BERLIN MD
21811-1666
US

V. Phone/Fax

Practice location:
  • Phone: 410-629-0164
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YS0200X
TaxonomySchool Counselor
License Number13303
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: