Healthcare Provider Details

I. General information

NPI: 1033998760
Provider Name (Legal Business Name): HELEN GURKIN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/22/2023
Last Update Date: 10/01/2026
Certification Date: 10/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10005 OLD COLUMBIA RD STE L260
COLUMBIA MD
21046-1722
US

IV. Provider business mailing address

5705 HARPERS FARM RD UNIT E
COLUMBIA MD
21044-2256
US

V. Phone/Fax

Practice location:
  • Phone: 443-259-0400
  • Fax:
Mailing address:
  • Phone: 561-201-0533
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29561
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: