Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MR. EDWARD LEO MISLAK, MSW LCSWC CACAD
Active Sole ProprietorMR. EDWARD LEO MISLAK, MSW LCSWC CACAD is a Social Worker healthcare provider located in STREET, Maryland. NPI 1922144203 is currently active in the NPPES registry. Verify at CMS.
Social Worker · STREET, MD
Registration Details
- NPI Number
- 1922144203
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Jan 30, 2007 (19.550062351867 yrs)
- Last Updated
- Dec 27, 2017
- Licenses
-
AC1003 (MD)08156 (MD)
- Sole Proprietor
- Yes
Practice Information
- Address
-
801 CHANCE CTSTREET, MD, 211541648Browse MD providers · Browse ZIP 21154
- Phone
- 4108937217
- Fax
- 4108937217
- Primary Specialty
-
Social Worker
104100000X
- Additional Specialty
- Social Worker
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.