Provider Demographics
NPI:1326274572
Name:SIMULIS, ANNA MARIE (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:MARIE
Last Name:SIMULIS
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 1:6270 WORCESTER HWY
Mailing Address - Street 2:
Mailing Address - City:NEWARK
Mailing Address - State:MD
Mailing Address - Zip Code:21841-2224
Mailing Address - Country:US
Mailing Address - Phone:410-632-5000
Mailing Address - Fax:
Practice Address - Street 1:6270 WORCESTER HWY
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:MD
Practice Address - Zip Code:21841-2224
Practice Address - Country:US
Practice Address - Phone:410-632-5000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-06-02
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13821104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker