Provider Demographics
NPI:1689746810
Name:FRICK, AARYN JONES (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:AARYN
Middle Name:JONES
Last Name:FRICK
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 1:8632 HOULTON HARBOUR
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-2570
Mailing Address - Country:US
Mailing Address - Phone:254-749-4214
Mailing Address - Fax:302-651-4945
Practice Address - Street 1:8 CYPRESS CREEK RD
Practice Address - Street 2:
Practice Address - City:SEVERNA PARK
Practice Address - State:MD
Practice Address - Zip Code:21146-4050
Practice Address - Country:US
Practice Address - Phone:443-261-5974
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-14
Last Update Date:2015-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL108311041C0700X
TX509161041C0700X
NJ44SLO5416000104100000X
MD204591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker