Provider Demographics
NPI:1821546466
Name:MARS, FRANDI (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:FRANDI
Middle Name:
Last Name:MARS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:FRANDI
Other - Middle Name:
Other - Last Name:MARS
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:18306 WICKHAM RD
Mailing Address - Street 2:
Mailing Address - City:OLNEY
Mailing Address - State:MD
Mailing Address - Zip Code:20832-3100
Mailing Address - Country:US
Mailing Address - Phone:301-502-1180
Mailing Address - Fax:
Practice Address - Street 1:18306 WICKHAM RD
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-3100
Practice Address - Country:US
Practice Address - Phone:301-502-1180
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-12
Last Update Date:2016-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDG091861041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical