Provider Demographics
NPI:1730255043
Name:EHLERS, ANN NETHKEN (MSW)
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:NETHKEN
Last Name:EHLERS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:404 SUNSET DR
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21502-1923
Mailing Address - Country:US
Mailing Address - Phone:301-724-1244
Mailing Address - Fax:
Practice Address - Street 1:404 SUNSET DR
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-1923
Practice Address - Country:US
Practice Address - Phone:301-724-1244
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-28
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD025571041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical