Healthcare Provider Details

I. General information

NPI: 1104167691
Provider Name (Legal Business Name): ARLEEN L FAULKNER LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/07/2013
Last Update Date: 02/12/2026
Certification Date: 02/12/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4307 57TH AVE APT T1
BLADENSBURG MD
20710-1728
US

IV. Provider business mailing address

4307 57TH AVE APT T1
BLADENSBURG MD
20710-1728
US

V. Phone/Fax

Practice location:
  • Phone: 301-356-3271
  • Fax:
Mailing address:
  • Phone: 301-356-3271
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2654
License Number StateMD
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License NumberA03271
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: