1134047103 NPI number — CARRIE ISABELLE SUZANNE MEYER LMSW

Table of content: CARRIE ISABELLE SUZANNE MEYER LMSW (NPI 1134047103)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134047103 NPI number — CARRIE ISABELLE SUZANNE MEYER LMSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
MEYER
Provider First Name:
CARRIE
Provider Middle Name:
ISABELLE SUZANNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LMSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1134047103
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2026
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
25312 FAIRWAY DR
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
QUANTICO
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21856-2012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
508-525-2984
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
32033 BEAVER RUN DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
SALISBURY
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21804-1773
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
410-749-1015
Provider Business Practice Location Address Fax Number:
410-749-1020
Provider Enumeration Date:
07/08/2026

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X , with the licence number:  35097 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





Copyright © 2007-2026 www.npivalidator.com