Provider Demographics
NPI:1497733695
Name:VOORHEES, MARY BETH (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:MARY BETH
Middle Name:
Last Name:VOORHEES
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:MARY BETH
Other - Middle Name:
Other - Last Name:KNOWLES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:47149 BUSE RD
Mailing Address - Street 2:BLDG 1370
Mailing Address - City:PATUXENT RIVER
Mailing Address - State:MD
Mailing Address - Zip Code:20670-1540
Mailing Address - Country:US
Mailing Address - Phone:301-757-9487
Mailing Address - Fax:301-342-4718
Practice Address - Street 1:47149 BUSE RD
Practice Address - Street 2:BLDG 1370
Practice Address - City:PATUXENT RIVER
Practice Address - State:MD
Practice Address - Zip Code:20670-1540
Practice Address - Country:US
Practice Address - Phone:301-342-9503
Practice Address - Fax:301-342-4718
Is Sole Proprietor?:No
Enumeration Date:2006-01-06
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
VAD000Medicare UPIN