Healthcare Provider Details

I. General information

NPI: 1861384190
Provider Name (Legal Business Name): INDIA KUTCHERMAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/21/2025
Last Update Date: 07/21/2025
Certification Date: 07/20/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9175 GUILFORD RD
COLUMBIA MD
21046-1849
US

IV. Provider business mailing address

1401 N FOREST PARK AVE
GWYNN OAK MD
21207-4851
US

V. Phone/Fax

Practice location:
  • Phone: 443-860-2549
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31240
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: