Provider Demographics
NPI:1063064830
Name:ANUSZEWSKI, CATHERINE LYNN (LCSW-C)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:LYNN
Last Name:ANUSZEWSKI
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 1:7935 WOODED GLEN CT
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-2052
Mailing Address - Country:US
Mailing Address - Phone:443-694-9346
Mailing Address - Fax:
Practice Address - Street 1:7067 COLUMBIA GATEWAY DR STE 180
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21046-3408
Practice Address - Country:US
Practice Address - Phone:410-929-7225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-07-11
Last Update Date:2019-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD148831041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical