Provider Demographics
NPI:1780863944
Name:LIEDER, YOCHEVED (MSW)
Entity Type:Individual
Prefix:
First Name:YOCHEVED
Middle Name:
Last Name:LIEDER
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 1:7013 WALLIS AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21215-1710
Mailing Address - Country:US
Mailing Address - Phone:410-358-2122
Mailing Address - Fax:410-358-2122
Practice Address - Street 1:7013 WALLIS AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-1710
Practice Address - Country:US
Practice Address - Phone:410-358-2122
Practice Address - Fax:410-358-2122
Is Sole Proprietor?:No
Enumeration Date:2007-10-24
Last Update Date:2009-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG10813104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker