Provider Demographics
NPI:1467891135
Name:MUSSER, CLARA E (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:CLARA
Middle Name:E
Last Name:MUSSER
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 1:46940 S SHANGRI LA DR
Mailing Address - Street 2:SUITE 15
Mailing Address - City:LEXINGTON PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20653-1037
Mailing Address - Country:US
Mailing Address - Phone:301-863-4543
Mailing Address - Fax:
Practice Address - Street 1:46940 S SHANGRI LA DR
Practice Address - Street 2:SUITE 15
Practice Address - City:LEXINGTON PARK
Practice Address - State:MD
Practice Address - Zip Code:20653-1037
Practice Address - Country:US
Practice Address - Phone:301-863-4543
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-06-17
Last Update Date:2015-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD18962104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker