Healthcare Provider Details

I. General information

NPI: 1316520836
Provider Name (Legal Business Name): NOELLE PIERCE
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/03/2021
Last Update Date: 09/14/2026
Certification Date: 09/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5970 FREDERICK CROSSING LN STE 100
FREDERICK MD
21704-5176
US

IV. Provider business mailing address

5970 FREDERICK CROSSING LN
FREDERICK MD
21704-5165
US

V. Phone/Fax

Practice location:
  • Phone: 240-415-8893
  • Fax: 240-466-1993
Mailing address:
  • Phone: 240-415-8893
  • Fax: 240-466-1993

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number21912
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: