Healthcare Provider Details

I. General information

NPI: 1922461193
Provider Name (Legal Business Name): TAI-ANNE LINTON LGSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2016
Last Update Date: 10/24/2025
Certification Date: 10/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5820 YORK RD SUITE 202
BALTIMORE MD
21212-3610
US

IV. Provider business mailing address

5820 YORK RD SUITE 202
BALTIMORE MD
21212-3610
US

V. Phone/Fax

Practice location:
  • Phone: 301-345-1022
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number44SC05907100
License Number StateNJ
# 2
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20511
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: