Provider Demographics
NPI:1134559321
Name:ANNETTE SARCINELLI, LCSW-C, LLC
Entity type:Organization
Organization Name:ANNETTE SARCINELLI, LCSW-C, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:ANNETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:SARCINELLI
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:240-422-6536
Mailing Address - Street 1:10230 NEW HAMPSHIRE AVE., SUITE 201
Mailing Address - Street 2:C/O EPHESIANS COUNSELING CENTER, 10230
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20903
Mailing Address - Country:US
Mailing Address - Phone:240-422-6536
Mailing Address - Fax:301-439-4299
Practice Address - Street 1:10230 NEW HAMPSHIRE AVE., SUITE 201
Practice Address - Street 2:C/O EPHESIANS COUNSELING CENTER, 10230
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20903
Practice Address - Country:US
Practice Address - Phone:240-422-6536
Practice Address - Fax:301-439-4299
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ANNETTE SARCINELLI, LCSW-C, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2013-11-25
Last Update Date:2013-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD402689600Medicaid