Provider Demographics
NPI:1437670072
Name:REED, MARJA LINDSEY (LCSW-C, LICSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARJA
Middle Name:LINDSEY
Last Name:REED
Suffix:
Gender:F
Credentials:LCSW-C, LICSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1300 MERCANTILE LN STE 100N
Mailing Address - Street 2:
Mailing Address - City:LARGO
Mailing Address - State:MD
Mailing Address - Zip Code:20774-5390
Mailing Address - Country:US
Mailing Address - Phone:240-583-0663
Mailing Address - Fax:
Practice Address - Street 1:1300 MERCANTILE LN STE 100N
Practice Address - Street 2:
Practice Address - City:LARGO
Practice Address - State:MD
Practice Address - Zip Code:20774-5390
Practice Address - Country:US
Practice Address - Phone:240-583-0663
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-07-05
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500799121041C0700X
WVDP009448971041C0700X
VA09040104031041C0700X
MD185091041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical