MEDICARE: DR. ALMAZ GETACHEW WEST LCPC, CRC. PHD

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
1	101YM0800X	Mental Health Counselor	17214	MD

General Provider Information

NPI Number	:	1821888967
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. ALMAZ GETACHEW WEST LCPC, CRC. PHD

Provider Business Mailing Address
First Line	:	3411 CARLISLE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-1811
Country	:	US
Telephone Number	:	336-965-7612
Fax Number	:	336-965-7612

Provider Business Practice Location Address
First Line	:	3411 CARLISLE AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21216-1811
Country	:	US
Telephone Number	:	336-965-7612
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/12/2025
Last Update Date	:	11/08/2025

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