Healthcare Provider Details
I. General information
NPI: 1871325035
Provider Name (Legal Business Name): CATHERINE ORZOLEK LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 08/16/2024
Last Update Date: 08/16/2024
Certification Date: 08/16/2024
Deactivation Date:
Reactivation Date:
III. Provider practice location address
535 OLD WESTMINSTER PIKE STE 106
WESTMINSTER MD
21157-6267
US
IV. Provider business mailing address
PO BOX 1229
SYKESVILLE MD
21784-1229
US
V. Phone/Fax
- Phone: 410-552-0773
- Fax: 443-200-0267
- Phone: 410-552-0773
- Fax: 443-200-0267
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 06697 |
| License Number State | MD |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: