Provider Demographics
NPI:1891806733
Name:SARCINELLI, ANNETTE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:ANNETTE
Middle Name:
Last Name:SARCINELLI
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 1:7810 CLARK RD
Mailing Address - Street 2:LOT D96
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-4004
Mailing Address - Country:US
Mailing Address - Phone:410-799-1608
Mailing Address - Fax:
Practice Address - Street 1:1620 ELTON RD
Practice Address - Street 2:SUITE 204
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903-1740
Practice Address - Country:US
Practice Address - Phone:301-439-7191
Practice Address - Fax:301-439-1169
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD#112231041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD459285OtherVALUE OPTIONS
MDLV123P60985203OtherCARE 1ST BCBS--MD/FED
MD301887OtherUBH
MD234635OtherKAISER-PERMANENTE
DCF127-0004OtherCARE 1ST BCBS
MD7220428OtherAETNA
MD2133172OtherMAMSI--UNITED HEALTH CARE
MD2133172OtherUNITED HEALTH CARE
MD291427OtherTRICARE--MHN
MD291427OtherMENTAL HEALTH NETWORK
MDPV132292OtherAPS
MD234635OtherKAISER-PERMANENTE