Healthcare Provider Details

I. General information

NPI: 1215669817
Provider Name (Legal Business Name): JODI WINOGRAD SCHULEMAN LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/30/2022
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 SISTER PIERRE DR STE 403
TOWSON MD
21204-7536
US

IV. Provider business mailing address

120 SISTER PIERRE DR STE 403
TOWSON MD
21204-7536
US

V. Phone/Fax

Practice location:
  • Phone: 410-823-6408
  • Fax: 443-279-0537
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: