Healthcare Provider Details

I. General information

NPI: 1336988328
Provider Name (Legal Business Name): JOCELYN MAYER MAYER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 05/21/2024
Last Update Date: 01/09/2025
Certification Date: 01/09/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

210 ABRECHT PL
FREDERICK MD
21701-4918
US

IV. Provider business mailing address

104 SYCAMORE RD
MOUNT AIRY MD
21771-5671
US

V. Phone/Fax

Practice location:
  • Phone: 301-663-8263
  • Fax:
Mailing address:
  • Phone: 301-957-5526
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31456
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: