Healthcare Provider Details

I. General information

NPI: 1942461140
Provider Name (Legal Business Name): NANCY-BETS E. HAY LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/19/2008
Last Update Date: 06/19/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

658 KENILWORTH DR SUITE 206
TOWSON MD
21204-2312
US

IV. Provider business mailing address

8204 RUXTON CROSSING CT
TOWSON MD
21204-2004
US

V. Phone/Fax

Practice location:
  • Phone: 410-828-3585
  • Fax: 410-828-8674
Mailing address:
  • Phone: 410-825-3724
  • Fax: 410-825-0540

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number08369
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: