Provider Demographics
NPI:1598760357
Name:MEYER, MARCIA EPSTEIN (MSW)
Entity Type:Individual
Prefix:MS
First Name:MARCIA
Middle Name:EPSTEIN
Last Name:MEYER
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 1:4210 HOLBROOK RD
Mailing Address - Street 2:
Mailing Address - City:RANDALLSTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:21133-1113
Mailing Address - Country:US
Mailing Address - Phone:410-833-5979
Mailing Address - Fax:410-922-8646
Practice Address - Street 1:225 E MAIN ST
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-5227
Practice Address - Country:US
Practice Address - Phone:410-857-8027
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-06-17
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD057561041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDQS78Medicare ID - Type Unspecified