Provider Demographics
NPI:1275702839
Name:EKAS-MUETING, ADRIENNE KANE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ADRIENNE
Middle Name:KANE
Last Name:EKAS-MUETING
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:ADRIENNE
Other - Middle Name:KANE
Other - Last Name:EKAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW
Mailing Address - Street 1:PO BOX 62063
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21264-2063
Mailing Address - Country:US
Mailing Address - Phone:410-706-5181
Mailing Address - Fax:410-706-5103
Practice Address - Street 1:520 W LOMBARD ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1603
Practice Address - Country:US
Practice Address - Phone:410-706-4869
Practice Address - Fax:410-706-3017
Is Sole Proprietor?:No
Enumeration Date:2008-02-27
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD099251041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical