Provider Demographics
NPI:1700010402
Name:PEDRO, MARTA ALMEIDA (MSW, LCSW)
Entity Type:Individual
Prefix:
First Name:MARTA
Middle Name:ALMEIDA
Last Name:PEDRO
Suffix:
Gender:F
Credentials:MSW, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11802 LONE TREE CT
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-4385
Mailing Address - Country:US
Mailing Address - Phone:443-538-6609
Mailing Address - Fax:
Practice Address - Street 1:11802 LONE TREE CT
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-4385
Practice Address - Country:US
Practice Address - Phone:443-538-6609
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2018-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLSW 107591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical