Marlene King Backert, LCPC

Individual provider Active NPI Professional Counselor · North East, MD

NPI 1801048137 · NPPES record last updated Oct 17, 2008

Key facts

NPI
1801048137
Entity type
Individual (NPI type 1)
Primary specialty
Professional Counselor 101YP2500X
License
LC2822 (MD)
Practice address
1930 Turkey Point Rd
North East, MD 21901-5452
Phone
(410) 287-5235
Fax
(410) 287-2556
NPI assigned
Oct 17, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
LC2822MDMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Scheidle Associates, Inc. Professional Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Professional Counselor 101YP2500X LC2822 MD Yes

Addresses

Primary practice location

1930 Turkey Point Rd
North East, MD 21901-5452

Mailing address

121 Remington Rd
Port Deposit, MD 21904-1135
Phone (410) 658-2360

Other names

  • Mrs. B. Marlene King Backert Other name

Other providers in North East, MD

All providers in North East, MD · Professional Counselor in Maryland

Sources for this page

Verify at the official NPI Registry.