Healthcare Provider Details

I. General information

NPI: 1144794868
Provider Name (Legal Business Name): ANNE WOJTOWICZ LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/15/2019
Last Update Date: 08/04/2022
Certification Date: 08/04/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5022 CAMPBELL BLVD STE L-M
NOTTINGHAM MD
21236-4969
US

IV. Provider business mailing address

3093 FOOTBRIDGE DR
MANCHESTER MD
21102-1922
US

V. Phone/Fax

Practice location:
  • Phone: 410-406-0049
  • Fax:
Mailing address:
  • Phone: 410-893-4600
  • Fax: 443-640-4358

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number20271
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: