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NPI Code Detail

MEDICARE: MADELINE COLLINS LCSW-C

MEDICARE: MADELINE COLLINS LCSW-C
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11041C0700XClinical Social Worker18134MD

General Provider Information

NPI Number : 1760887574
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE COLLINS LCSW-C
Provider Business Mailing Address
First Line : 3723 FALLS RD
Second Line :
City : BALTIMORE
State : MD
Zip : 21211-1812
Country : US
Telephone Number : 443-538-7483
Fax Number :
Provider Business Practice Location Address
First Line : 1009 FREDERICK RD
Second Line :
City : CATONSVILLE
State : MD
Zip : 21228-5055
Country : US
Telephone Number : 443-538-7483
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/23/2014
Last Update Date : 02/01/2017

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Directions to “ MADELINE COLLINS LCSW-C” Practice Location

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