Healthcare Provider Details

I. General information

NPI: 1972088227
Provider Name (Legal Business Name): NINA PAIGE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/02/2018
Last Update Date: 09/11/2026
Certification Date: 09/11/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1936 HACKBERRY CT
ODENTON MD
21113-2926
US

IV. Provider business mailing address

1826 ORIOLE CT
SEVERN MD
21144-3123
US

V. Phone/Fax

Practice location:
  • Phone: 240-524-0289
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: