Healthcare Provider Details

I. General information

NPI: 1407872989
Provider Name (Legal Business Name): MADELINE KRIEGER RN, LCPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/15/2006
Last Update Date: 01/13/2025
Certification Date: 01/13/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 BALTIMORE BLVD
WESTMINSTER MD
21157-7146
US

IV. Provider business mailing address

1812 BALTIMORE BLVD
WESTMINSTER MD
21157-7146
US

V. Phone/Fax

Practice location:
  • Phone: 410-751-6176
  • Fax:
Mailing address:
  • Phone: 410-751-6176
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code163WE0003X
TaxonomyEmergency Registered Nurse
License NumberR072761
License Number StateMD
# 2
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberLC2020
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: