Healthcare Provider Details

I. General information

NPI: 1144108242
Provider Name (Legal Business Name): KEMANNA EDDINGS LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/26/2025
Last Update Date: 08/26/2025
Certification Date: 08/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1005 N POINT BLVD
BALTIMORE MD
21224-3415
US

IV. Provider business mailing address

900 SOUTHERLY RD APT 402
TOWSON MD
21204-2943
US

V. Phone/Fax

Practice location:
  • Phone: 410-878-7511
  • Fax:
Mailing address:
  • Phone: 804-519-1887
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31568
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: