Provider Demographics
NPI:1144305087
Name:MULHOLLAND, MARY ELIZABETH (LCSW-C)
Entity type:Individual
Prefix:
First Name:MARY
Middle Name:ELIZABETH
Last Name:MULHOLLAND
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15107 INTERLACHEN DR
Mailing Address - Street 2:APT. 1006
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-5625
Mailing Address - Country:US
Mailing Address - Phone:301-598-5295
Mailing Address - Fax:
Practice Address - Street 1:15107 INTERLACHEN DR
Practice Address - Street 2:APT. 1006
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-5625
Practice Address - Country:US
Practice Address - Phone:301-598-5295
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-26
Last Update Date:2015-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD091541041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical