Healthcare Provider Details

I. General information

NPI: 1851272736
Provider Name (Legal Business Name): FLENIA MARIE RUNKLES LCSWC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/09/2025
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7 SCHOOL HOUSE AVE
WESTMINSTER MD
21157-4566
US

IV. Provider business mailing address

2650 QUARRY LAKE DR STE 200
BALTIMORE MD
21209-3756
US

V. Phone/Fax

Practice location:
  • Phone: 410-876-1233
  • Fax:
Mailing address:
  • Phone: 410-757-2077
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20808
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: