Provider Demographics
NPI:1124809041
Name:NEFF, MARILEE JENNIFER (LMSW)
Entity type:Individual
Prefix:
First Name:MARILEE
Middle Name:JENNIFER
Last Name:NEFF
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:MARILEE
Other - Middle Name:JENNIFER
Other - Last Name:NIKSTAITIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1272 COSGROVE DR
Mailing Address - Street 2:
Mailing Address - City:DAVIDSONVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21035-2169
Mailing Address - Country:US
Mailing Address - Phone:301-641-6307
Mailing Address - Fax:
Practice Address - Street 1:170 JENNIFER RD STE 202
Practice Address - Street 2:
Practice Address - City:ANNAPOLIS
Practice Address - State:MD
Practice Address - Zip Code:21401-7909
Practice Address - Country:US
Practice Address - Phone:301-641-6307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-06
Last Update Date:2023-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD300331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical