Provider Demographics
NPI:1881479715
Name:BYRD, TASHA M (LMSW)
Entity type:Individual
Prefix:
First Name:TASHA
Middle Name:M
Last Name:BYRD
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:TASHA
Other - Middle Name:M
Other - Last Name:DANNER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4623 FALLS RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4914
Mailing Address - Country:US
Mailing Address - Phone:410-684-0342
Mailing Address - Fax:
Practice Address - Street 1:7 SCHOOL HOUSE AVE STE 101
Practice Address - Street 2:
Practice Address - City:WESTMINSTER
Practice Address - State:MD
Practice Address - Zip Code:21157-4566
Practice Address - Country:US
Practice Address - Phone:410-876-1233
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-29
Last Update Date:2023-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30616104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker