Provider Demographics
NPI:1124784749
Name:GELFAND, MARLEE (LMSW)
Entity type:Individual
Prefix:
First Name:MARLEE
Middle Name:
Last Name:GELFAND
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 1:4115 ARJAY CIR
Mailing Address - Street 2:
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21042-5635
Mailing Address - Country:US
Mailing Address - Phone:443-545-9488
Mailing Address - Fax:
Practice Address - Street 1:5560 STERRETT PL STE 201
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-2627
Practice Address - Country:US
Practice Address - Phone:443-546-4000
Practice Address - Fax:443-546-4005
Is Sole Proprietor?:No
Enumeration Date:2021-11-09
Last Update Date:2021-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27877104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker