Provider Demographics
NPI:1467292144
Name:HOLLAND, ANIKA ALICIA (LMSW)
Entity type:Individual
Prefix:
First Name:ANIKA
Middle Name:ALICIA
Last Name:HOLLAND
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:ANIKA
Other - Middle Name:ALICIA
Other - Last Name:HOLLAND
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:2016 WISPER WOODS WAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-1294
Mailing Address - Country:US
Mailing Address - Phone:518-331-0807
Mailing Address - Fax:
Practice Address - Street 1:2016 WISPER WOODS WAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-1294
Practice Address - Country:US
Practice Address - Phone:518-331-0807
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-29
Last Update Date:2024-05-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22121104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker