Provider Demographics
NPI:1265978548
Name:PEARSON, ALICIA CHRISTINE (LCSW-C)
Entity type:Individual
Prefix:
First Name:ALICIA
Middle Name:CHRISTINE
Last Name:PEARSON
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 1:6600 YORK RD STE 103
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2092
Mailing Address - Country:US
Mailing Address - Phone:410-622-3166
Mailing Address - Fax:443-583-0446
Practice Address - Street 1:6600 YORK RD STE 103
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-2092
Practice Address - Country:US
Practice Address - Phone:410-622-3166
Practice Address - Fax:443-583-0446
Is Sole Proprietor?:No
Enumeration Date:2017-01-11
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD213831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical