Provider Demographics
NPI:1356688816
Name:MASLAR, PATRICIA M (LCSW)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:M
Last Name:MASLAR
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 BRINTON WAY
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-2136
Mailing Address - Country:US
Mailing Address - Phone:302-369-6736
Mailing Address - Fax:
Practice Address - Street 1:290 E MAIN ST
Practice Address - Street 2:
Practice Address - City:NEWARK
Practice Address - State:DE
Practice Address - Zip Code:19711-7353
Practice Address - Country:US
Practice Address - Phone:302-369-6736
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-01-03
Last Update Date:2013-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DE00003151041C0700X
MD110761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical