Healthcare Provider Details

I. General information

NPI: 1821242777
Provider Name (Legal Business Name): JOANNE EPSTEIN LCSWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/05/2008
Last Update Date: 08/07/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1634 SULPHUR SPRING RD
BALTIMORE MD
21227-2539
US

IV. Provider business mailing address

6350 RED CEDAR PL UNIT 411
BALTIMORE MD
21209-5406
US

V. Phone/Fax

Practice location:
  • Phone: 410-242-0920
  • Fax:
Mailing address:
  • Phone: 201-873-1017
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number22553
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: