=====================================================
General NPI Number Information
=====================================================
NPI Number | 1598760357
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MARCIA EPSTEIN MEYER MSW
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 06/17/2005
-----------------------------------------------------
Last Update Date | 06/20/2024
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 909 BALTIMORE BLVD STE 140
-----------------------------------------------------
City | WESTMINSTER
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21157-7069
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-857-8027
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 4210 HOLBROOK RD
-----------------------------------------------------
City | RANDALLSTOWN
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 21133-1113
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 410-833-5979
-----------------------------------------------------
Fax | 410-922-8646
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 05756
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------