Provider Demographics
NPI:1487300380
Name:ABDEL-SALAM, ELEANOR LARA (LCSW-C)
Entity type:Individual
Prefix:MRS
First Name:ELEANOR
Middle Name:LARA
Last Name:ABDEL-SALAM
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:ELEANOR
Other - Middle Name:L
Other - Last Name:SOMERS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:19 HICKORY RIDGE CT
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-2419
Mailing Address - Country:US
Mailing Address - Phone:410-422-3676
Mailing Address - Fax:
Practice Address - Street 1:19 HICKORY RIDGE CT
Practice Address - Street 2:
Practice Address - City:CATONSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21228-2419
Practice Address - Country:US
Practice Address - Phone:410-422-3676
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-03-01
Last Update Date:2023-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD167381041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical