Healthcare Provider Details

I. General information

NPI: 1922791011
Provider Name (Legal Business Name): WILLIAM ROBERT LINS SR. LCSWC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/02/2023
Last Update Date: 10/05/2026
Certification Date: 10/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

310 HARLAN SQ
BEL AIR MD
21014-3215
US

IV. Provider business mailing address

PO BOX 13050
BELFAST ME
04915-4021
US

V. Phone/Fax

Practice location:
  • Phone: 410-588-6243
  • Fax:
Mailing address:
  • Phone: 410-588-6243
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number30082
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: