Healthcare Provider Details

I. General information

NPI: 1174434393
Provider Name (Legal Business Name): JAMMIE WINDER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1045 TAYLOR AVE STE 206
TOWSON MD
21286-8316
US

IV. Provider business mailing address

3 SPRINGTIME WAY
PARKVILLE MD
21234-8705
US

V. Phone/Fax

Practice location:
  • Phone: 410-650-2771
  • Fax:
Mailing address:
  • Phone: 443-220-6091
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number33496
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: