Provider Demographics
NPI:1073334868
Name:HALL, ANNA MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:MARIE
Last Name:HALL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21203 W SHARP ST
Mailing Address - Street 2:
Mailing Address - City:ROCK HALL
Mailing Address - State:MD
Mailing Address - Zip Code:21661-1517
Mailing Address - Country:US
Mailing Address - Phone:667-377-2004
Mailing Address - Fax:833-371-2115
Practice Address - Street 1:21203 W SHARP ST
Practice Address - Street 2:
Practice Address - City:ROCK HALL
Practice Address - State:MD
Practice Address - Zip Code:21661-1517
Practice Address - Country:US
Practice Address - Phone:667-377-2004
Practice Address - Fax:833-371-2115
Is Sole Proprietor?:No
Enumeration Date:2024-10-23
Last Update Date:2024-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28976104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker