Provider Demographics
NPI:1275096950
Name:MAINA, ANITA N (MSW, LICSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:N
Last Name:MAINA
Suffix:
Gender:F
Credentials:MSW, LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3303 BEECH AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211-2607
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:1025 VERMONT AVE NW STE 310
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20005-6302
Practice Address - Country:US
Practice Address - Phone:202-293-4580
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-10
Last Update Date:2022-10-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD252481041C0700X
DCLC500820161041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD25248OtherMARYLAND STATE BOARD OF SOCIAL WORK EXAMINERS
DCLC50082016OtherDISTRICT OF COLUMBIA DEPARTMENT OF HEALTH