Provider Demographics
NPI:1447525696
Name:HARRING, ELIZABETH MARY (LCSW-C, LICSW)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:MARY
Last Name:HARRING
Suffix:
Gender:F
Credentials:LCSW-C, LICSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15623 YORK RD
Mailing Address - Street 2:
Mailing Address - City:SPARKS
Mailing Address - State:MD
Mailing Address - Zip Code:21152-9687
Mailing Address - Country:US
Mailing Address - Phone:410-207-1557
Mailing Address - Fax:
Practice Address - Street 1:15623 YORK RD
Practice Address - Street 2:
Practice Address - City:SPARKS
Practice Address - State:MD
Practice Address - Zip Code:21152-9687
Practice Address - Country:US
Practice Address - Phone:410-207-1557
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-03-20
Last Update Date:2016-06-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DCLC500791991041C0700X
MD151991041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical