Provider Demographics
NPI:1841505385
Name:AREFNIA, MOHAMMAD TAGHI (LCSW-C)
Entity type:Individual
Prefix:
First Name:MOHAMMAD
Middle Name:TAGHI
Last Name:AREFNIA
Suffix:
Gender:M
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 1:305 W CHESAPEAKE AVE
Mailing Address - Street 2:SUITE 417
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21204-4421
Mailing Address - Country:US
Mailing Address - Phone:410-825-5700
Mailing Address - Fax:410-825-5701
Practice Address - Street 1:305 W CHESAPEAKE AVE
Practice Address - Street 2:SUITE 417
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-4421
Practice Address - Country:US
Practice Address - Phone:410-825-5700
Practice Address - Fax:410-825-5701
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-09
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD159011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical