Provider Demographics
NPI:1154532901
Name:ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Entity type:Organization
Organization Name:ANNE ARUNDEL COUNTY DEPARTMENT OF HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SOCIAL WORKER ADVANCED
Authorized Official - Prefix:MRS
Authorized Official - First Name:LISA
Authorized Official - Middle Name:TULL
Authorized Official - Last Name:ELDRIDGE
Authorized Official - Suffix:
Authorized Official - Credentials:LCSW-C
Authorized Official - Phone:410-222-6622
Mailing Address - Street 1:300 HAMMONDS LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21225-3653
Mailing Address - Country:US
Mailing Address - Phone:410-222-6622
Mailing Address - Fax:
Practice Address - Street 1:300 HAMMONDS LN
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21225-3653
Practice Address - Country:US
Practice Address - Phone:410-222-6622
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05637251K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare