Provider Demographics
NPI:1639813231
Name:GUY, ANNA TERESA (LMSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:TERESA
Last Name:GUY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANNA
Other - Middle Name:TERESA
Other - Last Name:FIORA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMSW
Mailing Address - Street 1:PO BOX 2514
Mailing Address - Street 2:
Mailing Address - City:LEONARDTOWN
Mailing Address - State:MD
Mailing Address - Zip Code:20650-8514
Mailing Address - Country:US
Mailing Address - Phone:301-690-8404
Mailing Address - Fax:
Practice Address - Street 1:23140 MOAKLEY ST STE 6
Practice Address - Street 2:
Practice Address - City:LEONARDTOWN
Practice Address - State:MD
Practice Address - Zip Code:20650-2931
Practice Address - Country:US
Practice Address - Phone:301-690-8404
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-04-21
Last Update Date:2022-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD26478104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker