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NPI Code Detail

MEDICARE: MS. MEIRA BAYAR ELLIAS LICSW

MEDICARE: MS. MEIRA BAYAR ELLIAS LICSW
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
1104100000XSocial Worker081972-1NY
21041C0700XClinical Social WorkerLC50080173DC
31041C0700XClinical Social Worker20430MD

General Provider Information

NPI Number : 1396042362
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. MEIRA BAYAR ELLIAS LICSW
Provider Business Mailing Address
First Line : 2303 14TH ST NW
Second Line : APT 301
City : WASHINGTON
State : DC
Zip : 20009-4098
Country : US
Telephone Number : 973-868-7685
Fax Number :
Provider Business Practice Location Address
First Line : 4350 E WEST HWY STE 200
Second Line :
City : BETHESDA
State : MD
Zip : 20814-4426
Country : US
Telephone Number : 301-970-4001
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/27/2011
Last Update Date : 09/16/2021

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