Provider Demographics
NPI:1477606986
Name:JUARBE, MARITZA (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARITZA
Middle Name:
Last Name:JUARBE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1331 TONGUE COVE DR
Mailing Address - Street 2:
Mailing Address - City:LUSBY
Mailing Address - State:MD
Mailing Address - Zip Code:20657-2977
Mailing Address - Country:US
Mailing Address - Phone:443-404-5195
Mailing Address - Fax:
Practice Address - Street 1:1331 TONGUE COVE DR
Practice Address - Street 2:
Practice Address - City:LUSBY
Practice Address - State:MD
Practice Address - Zip Code:20657-2977
Practice Address - Country:US
Practice Address - Phone:443-404-5195
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-19
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC3027021041C0700X
MD068501041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical