Healthcare Provider Details

I. General information

NPI: 1194716480
Provider Name (Legal Business Name): MARTIN PAUL SCHNUIT LCSWC
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/04/2005
Last Update Date: 05/23/2024
Certification Date: 05/23/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700B NURSERY RD
LINTHICUM MD
21090-1409
US

IV. Provider business mailing address

700B NURSERY RD
LINTHICUM MD
21090-1409
US

V. Phone/Fax

Practice location:
  • Phone: 410-533-5968
  • Fax:
Mailing address:
  • Phone: 410-919-8397
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number09757
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: