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NPI Code Detail

MEDICARE: CATHERINE LYNN ANUSZEWSKI LCSW-C

MEDICARE: CATHERINE LYNN ANUSZEWSKI LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker14883MD

General Provider Information

NPI Number : 1063064830
Entity Type Code : Individual
Provider Name (Legal Business Name) : CATHERINE LYNN ANUSZEWSKI LCSW-C
Provider Business Mailing Address
First Line : 7935 WOODED GLEN CT
Second Line :
City : PASADENA
State : MD
Zip : 21122-2052
Country : US
Telephone Number : 443-694-9346
Fax Number :
Provider Business Practice Location Address
First Line : 7067 COLUMBIA GATEWAY DR STE 180
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-3408
Country : US
Telephone Number : 410-929-7225
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/11/2019
Last Update Date : 07/11/2019

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