MEDICARE: MRS. CHIAKA SANDRA ARLIA LCSW

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
1	104100000X	Social Worker	G09312	MD

General Provider Information

NPI Number	:	1588781744
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHIAKA SANDRA ARLIA LCSW

Provider Business Mailing Address
First Line	:	151 PEPPERMINT DR
Second Line	:
City	:	PORT DEPOSIT
State	:	MD
Zip	:	21904-1365
Country	:	US
Telephone Number	:	410-286-1374
Fax Number	:

Provider Business Practice Location Address
First Line	:	802 BALTIMORE PIKE
Second Line	:
City	:	BEL AIR
State	:	MD
Zip	:	21014-4212
Country	:	US
Telephone Number	:	443-642-2422
Fax Number	:	410-638-5260

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/23/2007
Last Update Date	:	02/07/2024

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