Healthcare Provider Details

I. General information

NPI: 1043946221
Provider Name (Legal Business Name): SYDNEY STONE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/28/2022
Last Update Date: 07/28/2022
Certification Date: 07/28/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11350 MCCORMICK RD STE 800
HUNT VALLEY MD
21031-1002
US

IV. Provider business mailing address

1207 WINTER LN
EASTON PA
18040-8264
US

V. Phone/Fax

Practice location:
  • Phone: 410-800-2169
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number28947
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: