Healthcare Provider Details

I. General information

NPI: 1730416546
Provider Name (Legal Business Name): MICHELE PIERCE LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/16/2009
Last Update Date: 12/05/2025
Certification Date: 12/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

104 MARKET CT
STEVENSVILLE MD
21666-2162
US

IV. Provider business mailing address

104 MARKET CT
STEVENSVILLE MD
21666-2162
US

V. Phone/Fax

Practice location:
  • Phone: 443-615-1934
  • Fax:
Mailing address:
  • Phone: 443-615-1934
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number14316
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: