Healthcare Provider Details

I. General information

NPI: 1447164389
Provider Name (Legal Business Name): BENJAMIN LEE CULVER LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/29/2026
Last Update Date: 09/29/2026
Certification Date: 09/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7822 EASTERN AVE
BALTIMORE MD
21224-2115
US

IV. Provider business mailing address

3141 BEAVER LN
TRAPPE MD
21673-1520
US

V. Phone/Fax

Practice location:
  • Phone: 800-847-6028
  • Fax:
Mailing address:
  • Phone: 301-244-9598
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number31468
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: