Provider Demographics
NPI:1245562065
Name:BURROWS-MCELWAIN, CICELY KENDA (LCSW-C, BCD)
Entity Type:Individual
Prefix:MRS
First Name:CICELY
Middle Name:KENDA
Last Name:BURROWS-MCELWAIN
Suffix:
Gender:F
Credentials:LCSW-C, BCD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:27197 PINEBROOK TER
Mailing Address - Street 2:
Mailing Address - City:HEBRON
Mailing Address - State:MD
Mailing Address - Zip Code:21830-1179
Mailing Address - Country:US
Mailing Address - Phone:410-860-8035
Mailing Address - Fax:
Practice Address - Street 1:27197 PINEBROOK TER
Practice Address - Street 2:
Practice Address - City:HEBRON
Practice Address - State:MD
Practice Address - Zip Code:21830-1179
Practice Address - Country:US
Practice Address - Phone:410-860-8035
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-02-03
Last Update Date:2010-02-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD129851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical