Provider Demographics
NPI:1518716547
Name:O'HARA, ERIN PATRICIA (LMSW)
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:PATRICIA
Last Name:O'HARA
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18928 GUNPOWDER RD
Mailing Address - Street 2:
Mailing Address - City:MANCHESTER
Mailing Address - State:MD
Mailing Address - Zip Code:21102-2600
Mailing Address - Country:US
Mailing Address - Phone:443-801-6137
Mailing Address - Fax:
Practice Address - Street 1:18928 GUNPOWDER RD
Practice Address - Street 2:
Practice Address - City:MANCHESTER
Practice Address - State:MD
Practice Address - Zip Code:21102-2600
Practice Address - Country:US
Practice Address - Phone:443-801-6137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-13
Last Update Date:2024-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28804104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker