Lisa Salladin Childs, MSW
Individual provider Active NPI Clinical Social Worker · Monkton, MD
NPI 1477580728 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1477580728
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 08666 (MD)
- Practice address
- 16260 Falls Rd
Monkton, MD 21111-1621 - Phone
- (410) 409-8731
- Fax
- (443) 238-0201
- NPI assigned
- Jun 26, 2006
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 08666 | MD | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 08666 | MD | Yes |
Addresses
Primary practice location
16260 Falls Rd
Monkton, MD 21111-1621
Mailing address
16260 Falls Rd
Monkton, MD 21111-1621
Phone (410) 409-8731
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 402510501 | Medicaid | MD |
Other providers in Monkton, MD
- Brittney Rhodes Ibclc LLC
- Karen Lynn Brown
- Daniel Patrick Burke
- Irene Burks
- Harry Samuel Calvert
- Craig C. Longenecker DDS PA
- Page McDonald Crosby
- Camra S Davis
- Candiss Ann Dominick
- Dono Biofeedback LLC
All providers in Monkton, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.