MEDICARE: ANNETTE KERR 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
1	1041C0700X	Clinical Social Worker	05638	MD

General Provider Information

NPI Number	:	1619400843
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANNETTE KERR LCSW-C

Provider Business Mailing Address
First Line	:	1205 SHENANDOAH VIEW PKWY
Second Line	:
City	:	BRUNSWICK
State	:	MD
Zip	:	21716-9776
Country	:	US
Telephone Number	:	240-708-1028
Fax Number	:	301-681-4699

Provider Business Practice Location Address
First Line	:	1205 SHENANDOAH VIEW PKWY
Second Line	:
City	:	BRUNSWICK
State	:	MD
Zip	:	21716-9776
Country	:	US
Telephone Number	:	240-708-1028
Fax Number	:	301-681-4699

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

Provider Enumeration Date	:	04/05/2017
Last Update Date	:	04/12/2023

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Directions to “ ANNETTE KERR LCSW-C” Practice Location

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