Healthcare Provider Details

I. General information

NPI: 1881329860
Provider Name (Legal Business Name): ERIN OHRENSCHALL
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/22/2022
Last Update Date: 07/22/2022
Certification Date: 07/12/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

725 FALLSWAY BALTIMORE MD 21202
BALTIMORE MD
21202-2120
US

IV. Provider business mailing address

2901 N CALVERT ST
BALTIMORE MD
21218-4140
US

V. Phone/Fax

Practice location:
  • Phone: 443-228-8449
  • Fax:
Mailing address:
  • Phone: 443-228-8449
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number25439
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: