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MS. MANDA SHERITA LOLLAR LCSW-C NPI 1992880264


NPI Information

NPI: 1992880264
Provider Name: MS. MANDA SHERITA LOLLAR, LCSW-C
Classification: Social Worker - 1041C0700X
Entity Type: Individual

Specialization: Clinical

Address:
6916 DOGWOOD RD
BALTIMORE, MD
ZIP 21244
Phone: (410) 205-9446
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MS. Manda Sherita Lollar, LCSW-C is a clinical social worker in Baltimore, MD. The provider is a social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpersonal interactions, intrapsychic dynamics, and life management issues. Clinical social work services are based on bio-psychosocial perspectives. Services consist of assessment, diagnosis, treatment (including psychotherapy and counseling), client-centered advocacy, consultation, evaluation, and prevention of mental illness, emotional, or behavioral disturbances. MS. Manda Sherita Lollar, LCSW-C NPI is 1992880264. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

6916 DOGWOOD RD
BALTIMORE, MD
ZIP 21244-604
Phone: (410) 205-9446

The enumeration date for this NPI number is 10/26/2006 and was last updated on 10/30/2019.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1104100000XSocial WorkerG10906MARYLANDNo
21041C0700XSocial WorkerClinical16439MARYLANDYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1609550004MEDICAIDMARYLAND
2259147000OTHERMARYLANDMAGELLAN GROUP
3R968OTHERDISTRICT OF COLUMBIACAREFIRST FEDERAL GROUP
4LM49EAOTHERMARYLANDCAREFIRST BCBS GROUP
5517251OTHERUHC MAMSI GROUP

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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