Healthcare Provider Details

I. General information

NPI: 1700159985
Provider Name (Legal Business Name): SEANTE HATCHER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/17/2012
Last Update Date: 02/17/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1055 TAYLOR AVE SUITE 205
TOWSON MD
21286-8317
US

IV. Provider business mailing address

1055 TAYLOR AVE SUITE 205
TOWSON MD
21286-8317
US

V. Phone/Fax

Practice location:
  • Phone: 410-296-2004
  • Fax: 410-296-0094
Mailing address:
  • Phone: 410-296-2004
  • Fax: 410-296-0094

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number16882
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: