Provider Demographics
NPI:1346727070
Name:EVERETT, CLARESSA GLASPIE (LMSW)
Entity Type:Individual
Prefix:
First Name:CLARESSA
Middle Name:GLASPIE
Last Name:EVERETT
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1400 MERCANTILE LN STE 202
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5350
Mailing Address - Country:US
Mailing Address - Phone:301-909-4606
Mailing Address - Fax:301-909-4606
Practice Address - Street 1:1400 MERCANTILE LN STE 202
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5350
Practice Address - Country:US
Practice Address - Phone:301-909-4606
Practice Address - Fax:301-909-4606
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-25
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28938104100000X
AR104100000X
DCLG200002336104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty