Provider Demographics
NPI:1134385206
Name:MASLAR, LISA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:LISA
Middle Name:
Last Name:MASLAR
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:LISA
Other - Middle Name:
Other - Last Name:MASLAR
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:6679 HUNTSHIRE DR
Mailing Address - Street 2:
Mailing Address - City:ELKRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21075-6188
Mailing Address - Country:US
Mailing Address - Phone:410-579-1887
Mailing Address - Fax:
Practice Address - Street 1:500 N ROLLING RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21228-4134
Practice Address - Country:US
Practice Address - Phone:410-788-0300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-07-29
Last Update Date:2010-11-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD141991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical