Provider Demographics
NPI:1952519191
Name:LESSER, MARY R (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:MARY
Middle Name:R
Last Name:LESSER
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 1:1223 ANNAPOLIS RD
Mailing Address - Street 2:A-3
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-1328
Mailing Address - Country:US
Mailing Address - Phone:301-806-3029
Mailing Address - Fax:410-798-5825
Practice Address - Street 1:1223 ANNAPOLIS RD
Practice Address - Street 2:A-3
Practice Address - City:ODENTON
Practice Address - State:MD
Practice Address - Zip Code:21113-1328
Practice Address - Country:US
Practice Address - Phone:301-806-3029
Practice Address - Fax:410-798-5825
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-20
Last Update Date:2013-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD086731041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical