MEDICARE: MR. MICHAEL ANTHONY LAYNE 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	12953	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1740466465
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. MICHAEL ANTHONY LAYNE LCSW-C

Provider Business Mailing Address
First Line	:	20 PLEASANT RIDGE DR STE E
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-2560
Country	:	US
Telephone Number	:	443-544-7744
Fax Number	:	443-870-3129

Provider Business Practice Location Address
First Line	:	20 PLEASANT RIDGE DR STE A
Second Line	:
City	:	OWINGS MILLS
State	:	MD
Zip	:	21117-2560
Country	:	US
Telephone Number	:	443-544-7744
Fax Number	:	443-870-3129

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

Provider Enumeration Date	:	01/11/2008
Last Update Date	:	01/19/2025

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Directions to “ MR. MICHAEL ANTHONY LAYNE LCSW-C” Practice Location

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