Provider Demographics
NPI:1720421324
Name:GADSDEN, ELLARWEE (PHD, LCSW)
Entity Type:Individual
Prefix:DR
First Name:ELLARWEE
Middle Name:
Last Name:GADSDEN
Suffix:
Gender:F
Credentials:PHD, LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 N FULTON AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21217-1425
Mailing Address - Country:US
Mailing Address - Phone:410-462-6001
Mailing Address - Fax:443-708-1443
Practice Address - Street 1:800 N FULTON AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21217-1425
Practice Address - Country:US
Practice Address - Phone:410-462-6001
Practice Address - Fax:443-708-1443
Is Sole Proprietor?:No
Enumeration Date:2013-04-12
Last Update Date:2013-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD13955101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health