Healthcare Provider Details

I. General information

NPI: 1205852001
Provider Name (Legal Business Name): CLAUDIA FRANCES MACKIE PH.D. MSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: CLAUDIA MACKIE O'QUINN MSW

II. Dates (important events)

Enumeration Date: 07/14/2006
Last Update Date: 05/07/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 CARVEL CIR CORNERSTONE COUNSELING CENTER
EDGEWATER MD
21037-1005
US

IV. Provider business mailing address

8 CARVEL CIR CORNERSTONE COUNSELING CENTER
EDGEWATER MD
21037-1005
US

V. Phone/Fax

Practice location:
  • Phone: 410-266-1153
  • Fax: 410-266-9740
Mailing address:
  • Phone: 410-266-1153
  • Fax: 410-266-9740

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number14475
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: