Vansickle, Mary Elizabeth
Vansickle, Mary Elizabeth is an individual health care provider with primary practice located at 40 S 2Nd St , Oakland MD 21550-1518. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Vansickle, Mary Elizabeth can be contacted via phone (301) 914-1351.Contact Information
Primary practice address
40 S 2Nd St
Oakland MD 21550-1518
Phone: (301) 914-1351
Fax: (301) 334-7642
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 06787 | Maryland |
Profile Details
| NPI number | 1215407374 |
|---|---|
| LBN Legal business name | Vansickle, Mary Elizabeth |
| Credentials | MSW, LCSW-C |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Dec 3rd, 2018 |
| Last updated | Dec 3rd, 2018 - about 6 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1215407374 | NPPES |
| Maryland | MEDICAID | 9052020000 | |
| Maryland | MEDICAID | 541388500 |
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