Healthcare Provider Details

I. General information

NPI: 1356983134
Provider Name (Legal Business Name): FELICIA ALSTON JAMES LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/12/2019
Last Update Date: 10/12/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

521 E JOPPA RD STE 204A
TOWSON MD
21286-1807
US

IV. Provider business mailing address

4750 COYLE RD APT 404
OWINGS MILLS MD
21117-5087
US

V. Phone/Fax

Practice location:
  • Phone: 443-403-2566
  • Fax:
Mailing address:
  • Phone: 443-528-5872
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number07221
License Number StateMD

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: