Provider Demographics
NPI:1619400843
Name:KERR, ANNETTE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:KERR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1205 SHENANDOAH VIEW PKWY
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:MD
Mailing Address - Zip Code:21716-9776
Mailing Address - Country:US
Mailing Address - Phone:240-708-1028
Mailing Address - Fax:301-681-4699
Practice Address - Street 1:1205 SHENANDOAH VIEW PKWY
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:MD
Practice Address - Zip Code:21716-9776
Practice Address - Country:US
Practice Address - Phone:240-708-1028
Practice Address - Fax:301-681-4699
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-05
Last Update Date:2023-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD056381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical