Healthcare Provider Details

I. General information

NPI: 1821001991
Provider Name (Legal Business Name): CHRISTINE CAROL HESS LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 08/13/2006
Last Update Date: 11/13/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1447 YORK RD STE 506
LUTHERVILLE MD
21093-6022
US

IV. Provider business mailing address

2595 PURNELL DR
BALTIMORE MD
21207-6161
US

V. Phone/Fax

Practice location:
  • Phone: 410-825-2281
  • Fax: 410-825-2280
Mailing address:
  • Phone: 443-691-1499
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10423
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: