Healthcare Provider Details

I. General information

NPI: 1740611599
Provider Name (Legal Business Name): TJ KAMSLER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: TIFFANY JONES-ROUSE LCSW-C

II. Dates (important events)

Enumeration Date: 12/04/2013
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1298 BAY DALE DR #211
ARNOLD MD
21012
US

IV. Provider business mailing address

1298 BAY DALE DR #211
ARNOLD MD
21012
US

V. Phone/Fax

Practice location:
  • Phone: 443-860-1986
  • Fax:
Mailing address:
  • Phone: 443-860-1986
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberCSW009490
License Number StateGA
# 2
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberSC1741
License Number StateMD
# 4
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17037
License Number StateMD
# 5
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: