Provider Demographics
NPI:1306409826
Name:SANTELI, MARIANA E (LCSW-C)
Entity type:Individual
Prefix:
First Name:MARIANA
Middle Name:E
Last Name:SANTELI
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 1:14605 ELM ST # 303
Mailing Address - Street 2:
Mailing Address - City:UPPER MARLBORO
Mailing Address - State:MD
Mailing Address - Zip Code:20773-0303
Mailing Address - Country:US
Mailing Address - Phone:240-283-4991
Mailing Address - Fax:
Practice Address - Street 1:3610 HALLOWAY N
Practice Address - Street 2:
Practice Address - City:UPPER MARLBORO
Practice Address - State:MD
Practice Address - Zip Code:20772-3212
Practice Address - Country:US
Practice Address - Phone:240-283-4991
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-19
Last Update Date:2024-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD194071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical