Provider Demographics
NPI:1275860298
Name:BEAN, ELIZABETH CRANE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:ELIZABETH
Middle Name:CRANE
Last Name:BEAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:140 STANMORE ROAD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-1131
Mailing Address - Country:US
Mailing Address - Phone:410-296-7858
Mailing Address - Fax:
Practice Address - Street 1:140 STANMORE ROAD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-1131
Practice Address - Country:US
Practice Address - Phone:410-296-7858
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-11-12
Last Update Date:2009-11-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD071761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical