Provider Demographics
NPI:1821679895
Name:CHRISTY, ADRIENNA R (LMSW)
Entity Type:Individual
Prefix:MS
First Name:ADRIENNA
Middle Name:R
Last Name:CHRISTY
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:546 JAMESTOWN CT
Mailing Address - Street 2:
Mailing Address - City:EDGEWOOD
Mailing Address - State:MD
Mailing Address - Zip Code:21040-2208
Mailing Address - Country:US
Mailing Address - Phone:443-910-7120
Mailing Address - Fax:
Practice Address - Street 1:546 JAMESTOWN CT
Practice Address - Street 2:
Practice Address - City:EDGEWOOD
Practice Address - State:MD
Practice Address - Zip Code:21040-2208
Practice Address - Country:US
Practice Address - Phone:443-910-7120
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-04-20
Last Update Date:2021-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23343101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor