Provider Demographics
NPI:1992030589
Name:HUBER, MARY R (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:R
Last Name:HUBER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:MARY
Other - Middle Name:R
Other - Last Name:CAPRIOTTI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LLMSW
Mailing Address - Street 1:8303 COOL SPRING LN
Mailing Address - Street 2:
Mailing Address - City:ADELPHI
Mailing Address - State:MD
Mailing Address - Zip Code:20783-2245
Mailing Address - Country:US
Mailing Address - Phone:734-846-5772
Mailing Address - Fax:
Practice Address - Street 1:8303 COOL SPRING LN
Practice Address - Street 2:
Practice Address - City:ADELPHI
Practice Address - State:MD
Practice Address - Zip Code:20783-2245
Practice Address - Country:US
Practice Address - Phone:734-846-5772
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-10-15
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD214931041C0700X
PACW0163681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical