Healthcare Provider Details

I. General information

NPI: 1427399120
Provider Name (Legal Business Name): TIFFANY K SPAULDING WRONA LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: TIFFANY K SPAULDING LCSW-C

II. Dates (important events)

Enumeration Date: 03/06/2013
Last Update Date: 12/11/2025
Certification Date: 12/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3510 BRENBROOK DR
RANDALLSTOWN MD
21133-4902
US

IV. Provider business mailing address

3510 BRENBROOK DR
RANDALLSTOWN MD
21133-4902
US

V. Phone/Fax

Practice location:
  • Phone: 410-496-6441
  • Fax: 410-496-6448
Mailing address:
  • Phone: 410-496-6441
  • Fax: 410-496-6448

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16020
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: