Active NPI
Evelyn Linda Marx, L.C.S.W.-C., PH.D.
- Clinical Social Worker
- Towson, MD
National Provider Identifier
1093862856
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Clinical Social Worker
- License
- 03073
- Practice address
- 101 E Chesapeake Ave
Suite 202
Towson, MD 21286-5338 - Phone
- (410) 296-6334
- NPI assigned
- Jan 4, 2007
- Last updated
- Jan 20, 2012
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 03073 | MD | Primary |
Addresses
Primary practice location
101 E Chesapeake Ave
Suite 202
Towson, MD 21286-5338
Mailing address
101 E Chesapeake Ave
Suite 202
Towson, MD 21286-5338
Phone (410) 296-6334
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Philosophy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 03073 | MD | MD | Clinical Social Worker |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167868800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1327017600000",
"number": "1093862856",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E CHESAPEAKE AVE",
"address_2": "SUITE 202",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865338",
"telephone_number": "410-296-6334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 E CHESAPEAKE AVE",
"address_2": "SUITE 202",
"city": "TOWSON",
"state": "MD",
"postal_code": "212865338",
"telephone_number": "410-296-6334"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MARX",
"first_name": "EVELYN",
"middle_name": "LINDA",
"name_prefix": "Dr.",
"credential": "L.C.S.W.-C., PH.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-04",
"last_updated": "2012-01-20",
"status": "A"
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "",
"desc": "Social Worker, Clinical",
"state": "MD",
"license": "03073",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Towson, MD
- Thomas Roger Martin Jr., MS ATC
- William Forrest Martin III, D.D.S.
- Rafaelina Martinez, P.A.
- Steven Mineo Martinez, MD
- Christa Marvenko-Athas, LCSW-C
- Mary Jo Fishburn, M.D., PA
- Mary Teddy Wray DDS Dba Towson Extreme Smiles
- Maryland Aesthetic and Reconstructive Ambulatory Surgical Center LLC
- Maryland CVS Pharmacy LLC (CVS Pharmacy 04129)
- Maryland CVS Pharmacy LLC (CVS Pharmacy #16506)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.