Provider Demographics
NPI:1932713682
Name:BICK-MERA, ANNA ROSE (LGSW)
Entity Type:Individual
Prefix:
First Name:ANNA
Middle Name:ROSE
Last Name:BICK-MERA
Suffix:
Gender:F
Credentials:LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13913 RIPPLING BROOK DR
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-3168
Mailing Address - Country:US
Mailing Address - Phone:508-560-1222
Mailing Address - Fax:
Practice Address - Street 1:13913 RIPPLING BROOK DR
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-3168
Practice Address - Country:US
Practice Address - Phone:508-560-1222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-01
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLG50082372104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker