Provider Demographics
NPI:1114054434
Name:KLEIN, ANN SARI (LCSW C MSW)
Entity Type:Individual
Prefix:MS
First Name:ANN
Middle Name:SARI
Last Name:KLEIN
Suffix:
Gender:F
Credentials:LCSW C MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6239 PLAITED REED
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044
Mailing Address - Country:US
Mailing Address - Phone:410-730-4082
Mailing Address - Fax:410-730-6150
Practice Address - Street 1:6239 PLAITED REED
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044
Practice Address - Country:US
Practice Address - Phone:410-730-4082
Practice Address - Fax:410-730-6150
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD038221041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
KL608214Medicare ID - Type Unspecified