Healthcare Provider Details

I. General information

NPI: 1811813249
Provider Name (Legal Business Name): MARJORIE GARREN HATCH HARTMAN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/29/2026
Last Update Date: 06/29/2026
Certification Date: 06/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2921 STRANDEN RD
BALTIMORE MD
21230-2941
US

IV. Provider business mailing address

3608 PARKSIDE DR
BALTIMORE MD
21214-3426
US

V. Phone/Fax

Practice location:
  • Phone: 410-929-4030
  • Fax:
Mailing address:
  • Phone: 301-461-1238
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23043
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: