Provider Demographics
NPI:1477285070
Name:PAISLEY, CARLA LYNN (LMSW)
Entity Type:Individual
Prefix:MS
First Name:CARLA
Middle Name:LYNN
Last Name:PAISLEY
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 1:8370 COURT AVE STE 101
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-4692
Mailing Address - Country:US
Mailing Address - Phone:301-520-0586
Mailing Address - Fax:
Practice Address - Street 1:8370 COURT AVE STE 101
Practice Address - Street 2:
Practice Address - City:ELLICOTT CITY
Practice Address - State:MD
Practice Address - Zip Code:21043-4692
Practice Address - Country:US
Practice Address - Phone:301-520-0586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-30
Last Update Date:2022-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28773104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker