Healthcare Provider Details

I. General information

NPI: 1649415654
Provider Name (Legal Business Name): SARA LYNN SCHMERLING LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/04/2008
Last Update Date: 12/04/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 S LINWOOD AVE
BALTIMORE MD
21224-3856
US

IV. Provider business mailing address

510 POST OAK RD
ANNAPOLIS MD
21401-7140
US

V. Phone/Fax

Practice location:
  • Phone: 410-396-9146
  • Fax:
Mailing address:
  • Phone: 410-841-5175
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number03337
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code1041S0200X
TaxonomySchool Social Worker
License Number03337
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: