Provider Demographics
NPI:1659600633
Name:NDIAYE, SABRINA M (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:M
Last Name:NDIAYE
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 1:4 W ROLLING CROSSROADS
Mailing Address - Street 2:SUITE 3
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-6280
Mailing Address - Country:US
Mailing Address - Phone:410-455-5464
Mailing Address - Fax:410-455-5288
Practice Address - Street 1:4 W ROLLING CROSSROADS
Practice Address - Street 2:SUITE 3
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-6280
Practice Address - Country:US
Practice Address - Phone:410-455-5464
Practice Address - Fax:410-455-5288
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-21
Last Update Date:2009-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD128981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical