Provider Demographics
NPI:1205986114
Name:STARR, EILEEN FRANCES-MCINERNEY (LSCW-C)
Entity type:Individual
Prefix:MS
First Name:EILEEN
Middle Name:FRANCES-MCINERNEY
Last Name:STARR
Suffix:
Gender:F
Credentials:LSCW-C
Other - Prefix:MRS
Other - First Name:EILEEN
Other - Middle Name:F
Other - Last Name:STARR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:269 THOMAS JEFFERSON TER
Mailing Address - Street 2:
Mailing Address - City:ELKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21921-5167
Mailing Address - Country:US
Mailing Address - Phone:302-353-7465
Mailing Address - Fax:
Practice Address - Street 1:200 BOOTH ST
Practice Address - Street 2:
Practice Address - City:ELKTON
Practice Address - State:MD
Practice Address - Zip Code:21921-5657
Practice Address - Country:US
Practice Address - Phone:410-996-5140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD101961041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical