Provider Demographics
NPI:1003827700
Name:SAFREN, MOLLY KING (MSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:MOLLY
Middle Name:KING
Last Name:SAFREN
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9575 ANGELINA CIR
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-5111
Mailing Address - Country:US
Mailing Address - Phone:301-596-2858
Mailing Address - Fax:301-596-7061
Practice Address - Street 1:9575 ANGELINA CIR
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-5111
Practice Address - Country:US
Practice Address - Phone:301-596-2858
Practice Address - Fax:301-596-7061
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical