Provider Demographics
NPI:1518563733
Name:PIERCE, TIONNA (LICSW, LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:TIONNA
Middle Name:
Last Name:PIERCE
Suffix:
Gender:F
Credentials:LICSW, LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3807 RHODE ISLAND AVE APT 331
Mailing Address - Street 2:
Mailing Address - City:BRENTWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:20722-1476
Mailing Address - Country:US
Mailing Address - Phone:443-360-1379
Mailing Address - Fax:
Practice Address - Street 1:3807 RHODE ISLAND AVE APT 331
Practice Address - Street 2:
Practice Address - City:BRENTWOOD
Practice Address - State:MD
Practice Address - Zip Code:20722-1476
Practice Address - Country:US
Practice Address - Phone:443-360-1379
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-12-11
Last Update Date:2020-12-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD209141041C0700X
DCLC500822321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical