Provider Demographics
NPI:1588328504
Name:LAING, KIANNA MARIE (LMSW)
Entity type:Individual
Prefix:
First Name:KIANNA
Middle Name:MARIE
Last Name:LAING
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 1:2442 BLUE SPRING CT UNIT 201
Mailing Address - Street 2:
Mailing Address - City:ODENTON
Mailing Address - State:MD
Mailing Address - Zip Code:21113-0705
Mailing Address - Country:US
Mailing Address - Phone:954-812-1287
Mailing Address - Fax:
Practice Address - Street 1:10451 MILL RUN CIR STE 407
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-5577
Practice Address - Country:US
Practice Address - Phone:410-363-3713
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-26
Last Update Date:2021-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD27612104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker