Healthcare Provider Details

I. General information

NPI: 1245154327
Provider Name (Legal Business Name): ELENAR MARTINEZ-FERNANDEZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

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

III. Provider practice location address

1800 N CHARLES ST # 508
BALTIMORE MD
21201-5920
US

IV. Provider business mailing address

1800 N CHARLES ST STE 508
BALTIMORE MD
21201-5920
US

V. Phone/Fax

Practice location:
  • Phone: 410-801-8828
  • Fax: 443-817-0863
Mailing address:
  • Phone: 410-801-8828
  • Fax: 443-817-0863

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number33672
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: