Healthcare Provider Details

I. General information

NPI: 1477395614
Provider Name (Legal Business Name): ALAYNA ROSE GREENBAUM LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2024
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

IV. Provider business mailing address

22 S GREENE ST
BALTIMORE MD
21201-1544
US

V. Phone/Fax

Practice location:
  • Phone: 443-286-6458
  • Fax:
Mailing address:
  • Phone: 410-328-2531
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number30039
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: