Provider Demographics
NPI:1982756805
Name:PRICE, PAULA M (LCSW-C)
Entity Type:Individual
Prefix:
First Name:PAULA
Middle Name:M
Last Name:PRICE
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 1:13 E 2ND ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-5302
Mailing Address - Country:US
Mailing Address - Phone:301-694-8684
Mailing Address - Fax:301-694-2984
Practice Address - Street 1:13 E 2ND ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-5302
Practice Address - Country:US
Practice Address - Phone:301-694-8684
Practice Address - Fax:301-694-2984
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2009-07-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD125891041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical