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Organization
MARTA G CHANEY LLC
Active
Organization
MARTA G CHANEY LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTA GAY CHANEY LCSW-C (OWNER)
(410) 707-5893
Entity
Organization
Contact information
Practice address
3691 PARK AVE, ELLICOTT CITY, MD 21043-4783
(410) 707-5893
Mailing address
5501 SUFFIELD CT, COLUMBIA, MD 21044-2772
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
Primary
05213
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0003
BSDC
—
01
—
150N
MBMD
—
01
—
150N119G
MEDICARE UNSPECIFIED
—
01
—
226574
KAIS
—
01
—
252450
COMP
—
01
—
253537
COMP
—
01
—
331942
MHN
—
01
—
360218
MHN
—
01
—
54264604
BSMD
—
01
—
705BPS
BSMD
—
01
—
K452
BSDC
—
01
—
PVPB117117
APS
—
Enumeration date
12/21/2012
Last updated
12/21/2012
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