Provider Demographics
NPI:1578525275
Name:MYERS, MARIA T (LCSW)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:T
Last Name:MYERS
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2793 OLD POST RD
Mailing Address - Street 2:SUITE 11
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17110-3683
Mailing Address - Country:US
Mailing Address - Phone:717-480-1002
Mailing Address - Fax:
Practice Address - Street 1:2793 OLD POST RD
Practice Address - Street 2:SUITE 11
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17110-3683
Practice Address - Country:US
Practice Address - Phone:717-480-1002
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-04-06
Last Update Date:2013-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PACW0145811041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical