Katrina Marie Criaris, LMSW
Individual provider Active NPI Social Worker · Manchester, MD
NPI 1578284089 · NPPES record last updated Sep 5, 2022
Key facts
- NPI
- 1578284089
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Social Worker 104100000X
- License
- 28325 (MD)
- Practice address
- 3000 Manchester Rd # B
Manchester, MD 21102-1850 - Phone
- (410) 861-0066
- NPI assigned
- Sep 5, 2022
- 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 |
|---|---|---|---|
| 28325 | MD | MD | Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | 28325 | MD | Yes |
Addresses
Primary practice location
3000 Manchester Rd # B
Manchester, MD 21102-1850
Mailing address
746 Winchester Dr
Westminster, MD 21157-5745
Phone (609) 273-5150
Other providers in Manchester, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 5, 2022. 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.