Healthcare Provider Details

I. General information

NPI: 1013863802
Provider Name (Legal Business Name): THE GIFTED WOMEN PROJECT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/05/2026
Last Update Date: 03/05/2026
Certification Date: 03/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10 W EAGER ST STE 311
BALTIMORE MD
21201-5470
US

IV. Provider business mailing address

1 BOURBON CT
PARKVILLE MD
21234-8005
US

V. Phone/Fax

Practice location:
  • Phone: 443-447-1917
  • Fax:
Mailing address:
  • Phone: 443-447-1917
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VIII. Authorized Official

Name: NITEARA MICKEY
Title or Position: EXECUTIVE DIRECTOR
Credential: MICKEY
Phone: 443-447-1917