Provider Demographics
NPI:1437299864
Name:HORN, ELIZABETH HERRERA (LCSW0C)
Entity Type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:HERRERA
Last Name:HORN
Suffix:
Gender:F
Credentials:LCSW0C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:507 BETHANY CT
Mailing Address - Street 2:
Mailing Address - City:WESTMINSTER
Mailing Address - State:MD
Mailing Address - Zip Code:21157-6429
Mailing Address - Country:US
Mailing Address - Phone:410-386-0129
Mailing Address - Fax:
Practice Address - Street 1:288 E GREEN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5410
Practice Address - Country:US
Practice Address - Phone:410-751-5970
Practice Address - Fax:410-751-5647
Is Sole Proprietor?:No
Enumeration Date:2007-02-07
Last Update Date:2008-12-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD058241041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical