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NPI Code Detail

MEDICARE: ELIZABETH ANN CLINE LCSW-C

MEDICARE: ELIZABETH ANN CLINE 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 Worker23680MD

General Provider Information

NPI Number : 1205405073
Entity Type Code : Individual
Provider Name (Legal Business Name) : ELIZABETH ANN CLINE LCSW-C
Provider Business Mailing Address
First Line : 11670 OLD NATIONAL PIKE STE 103
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6123
Country : US
Telephone Number : 301-865-2226
Fax Number :
Provider Business Practice Location Address
First Line : 11670 OLD NATIONAL PIKE STE 103
Second Line :
City : NEW MARKET
State : MD
Zip : 21774-6123
Country : US
Telephone Number : 301-865-2226
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/24/2021
Last Update Date : 07/14/2021

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Directions to “ ELIZABETH ANN CLINE LCSW-C” Practice Location

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