Healthcare Provider Details

I. General information

NPI: 1396528501
Provider Name (Legal Business Name): DEVIN FOSTER LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/14/2023
Last Update Date: 08/14/2023
Certification Date: 08/14/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 N CHARLES ST STE 450B
BALTIMORE MD
21201-5318
US

IV. Provider business mailing address

7474 GREENWAY CENTER DR STE 202
GREENBELT MD
20770-3596
US

V. Phone/Fax

Practice location:
  • Phone: 240-304-3327
  • Fax: 410-609-7091
Mailing address:
  • Phone: 202-304-3327
  • Fax: 410-609-7091

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number30520
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: