Healthcare Provider Details

I. General information

NPI: 1689582702
Provider Name (Legal Business Name): NICHOLAS KLEIN LMSW
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/31/2026
Last Update Date: 09/09/2026
Certification Date: 09/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1006 MARKHAM CT APT E
BEL AIR MD
21014-6988
US

IV. Provider business mailing address

1006 MARKHAM CT APT E
BEL AIR MD
21014-6988
US

V. Phone/Fax

Practice location:
  • Phone: 443-528-8088
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33308
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: