Marissa Rose Pena in Ellicott City - Addiction (substance Use Disorder)
Marissa Rose Pena - NPI 1588869739
Marissa Rose Pena is a Addiction (substance Use Disorder) in Ellicott City, Maryland. Marissa Rose Pena practices all healthcare services and medical treatments related to Addiction (substance Use Disorder). The NPI Number for Marissa Rose Pena is 1588869739. The last update date is 2021-05-23.
Marissa Rose Pena's current location address is 3922 Old Columbia Pike, Ellicott City, Maryland. You can contact this provider via phone number 4103104639. The mailing address for Marissa Rose Pena is 3922 Old Columbia Pike, Ellicott City, Maryland. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Marissa Rose Pena |
|---|---|
| Address | 3922 Old Columbia Pike, Ellicott City, Maryland |
| Phone Number | 4103104639 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LCSW |
NPI Number Detail
| NPI Number | 1588869739 |
|---|---|
| Provider Enumeration Date | 2007-06-18 |
| Last Updated Date | 2021-05-23 |
Provider Mailing Address Detail
| Address | 3922 Old Columbia Pike |
|---|---|
| City | Ellicott City |
| State | Maryland (MD) |
| Post Code | 210435411 |
| Phone Number | 4103104639 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Addiction (substance Use Disorder) |
|---|---|
| Taxonomy | 101Ya0400X |
| Licence No | 11716 |
|
Definition: A counselor who helps people with alcohol, drug, gambling, internet, and other types of addictions. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| LCSW-C | MD | CLINICAL SOCIAL WORKER | |
| LCDC | TX | LICENSED CHEMICAL DEPENDENCY C | |
| LCSW | NM | CLINICAL SOCIAL WORK |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Marissa Rose Pena by the Centers for Medicare & Medicaid Services?
The Marissa Rose Pena has been assigned the NPI (National Provider Identifier) 1588869739 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Marissa Rose Pena is physically located?
The Marissa Rose Pena is physically situated at the following address: 3922 Old Columbia Pike, Ellicott City, MD, 210435411.
What is Marissa Rose Pena's area of expertise and its corresponding taxonomy classification?
The Marissa Rose Pena's field of specialization is Addiction (substance Use Disorder), and it falls under the taxonomy code 101Ya0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Marissa Rose Pena receive the assignment of its 1588869739 from the Centers for Medicare & Medicaid Services?
The Marissa Rose Pena was issued its 1588869739 by the Centers for Medicare & Medicaid Services on 2007-06-18.
When was the information regarding Marissa Rose Pena most recently updated?
The details pertaining to the Marissa Rose Pena, including its address, specialty, and other relevant information, were last refreshed on 2021-05-23.