Healthcare Provider Details

I. General information

NPI: 1033072988
Provider Name (Legal Business Name): MARY C SEARS CSC-AD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/08/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

821 FIELDCREST RD
CAMBRIDGE MD
21613-9423
US

IV. Provider business mailing address

2227 ANDREWS RD
CRAPO MD
21626-2002
US

V. Phone/Fax

Practice location:
  • Phone: 410-673-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSC3550
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: