Healthcare Provider Details

I. General information

NPI: 1134221971
Provider Name (Legal Business Name): JOPPA CORNERS MENTAL HEALTH SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/02/2006
Last Update Date: 07/18/2026
Certification Date: 07/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

409 CAMDEN AVE APT A
SALISBURY MD
21801-5408
US

IV. Provider business mailing address

5900 MORGANS WAY
SALISBURY MD
21801-3121
US

V. Phone/Fax

Practice location:
  • Phone: 410-219-5999
  • Fax: 410-548-4253
Mailing address:
  • Phone: 410-627-5927
  • Fax: 410-548-4253

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number10381
License Number StateMD

VIII. Authorized Official

Name: JULIE STOLTZFUS
Title or Position: OWNER
Credential: LCSW-C
Phone: 410-627-5927