Provider Demographics
NPI:1578972444
Name:GARNER, MARIA JANE (LSW,LICDC)
Entity type:Individual
Prefix:MRS
First Name:MARIA
Middle Name:JANE
Last Name:GARNER
Suffix:
Gender:
Credentials:LSW,LICDC
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:JANE
Other - Last Name:MARTIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LSW
Mailing Address - Street 1:1221 E WATERLOO RD
Mailing Address - Street 2:
Mailing Address - City:AKRON
Mailing Address - State:OH
Mailing Address - Zip Code:44306-3805
Mailing Address - Country:US
Mailing Address - Phone:234-208-4300
Mailing Address - Fax:330-724-7662
Practice Address - Street 1:1221 E WATERLOO RD
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44306-3805
Practice Address - Country:US
Practice Address - Phone:234-208-4300
Practice Address - Fax:330-724-7662
Is Sole Proprietor?:No
Enumeration Date:2014-08-05
Last Update Date:2025-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHLICDC101YA0400X
OHS.1303473104100000X
OHS1200173-TRNE1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker