Individual
MR. ELY ROMAN PERALTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LCSW-C, LICSW, LCSW
Contact information
Practice address
828 DULANEY VALLEY RD STE 11, TOWSON, MD 21204-2822
(410) 870-0490
Mailing address
828 DULANEY VALLEY RD STE 11, TOWSON, MD 21204-2822
(410) 870-0490
Taxonomy
Speciality
Code
Description
License number
State
1041C0700X
Clinical Social Worker
0904016495
VA
1041C0700X
Clinical Social Worker
Primary
27223
MD
1041C0700X
Clinical Social Worker
LC200003207
DC
Other
Enumeration date
12/07/2021
Last updated
09/30/2025
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