Provider Demographics
NPI:1538895339
Name:OFFER, LEVENA JOANN (LCADC)
Entity type:Individual
Prefix:
First Name:LEVENA
Middle Name:JOANN
Last Name:OFFER
Suffix:
Gender:F
Credentials:LCADC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7747 SPENCER RD
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8241
Mailing Address - Country:US
Mailing Address - Phone:443-301-2389
Mailing Address - Fax:
Practice Address - Street 1:7747 SPENCER RD
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8241
Practice Address - Country:US
Practice Address - Phone:443-301-2389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-26
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLCA313101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDO160514421947Medicaid