Provider Demographics
NPI:1881909448
Name:EBLING, CARA BROOKE (LCSW-C)
Entity type:Individual
Prefix:
First Name:CARA
Middle Name:BROOKE
Last Name:EBLING
Suffix:
Gender:F
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 1:17010 YORK RD STE 204
Mailing Address - Street 2:
Mailing Address - City:PARKTON
Mailing Address - State:MD
Mailing Address - Zip Code:21120-9719
Mailing Address - Country:US
Mailing Address - Phone:410-357-1668
Mailing Address - Fax:
Practice Address - Street 1:17010 YORK RD STE 204
Practice Address - Street 2:
Practice Address - City:PARKTON
Practice Address - State:MD
Practice Address - Zip Code:21120-9719
Practice Address - Country:US
Practice Address - Phone:410-357-1668
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-08
Last Update Date:2021-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
MD162761041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical