Healthcare Provider Details

I. General information

NPI: 1134047103
Provider Name (Legal Business Name): CARRIE ISABELLE SUZANNE MEYER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/08/2026
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

32033 BEAVER RUN DR
SALISBURY MD
21804-1773
US

IV. Provider business mailing address

25312 FAIRWAY DR
QUANTICO MD
21856-2012
US

V. Phone/Fax

Practice location:
  • Phone: 410-749-1015
  • Fax: 410-749-1020
Mailing address:
  • Phone: 508-525-2984
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35097
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: