MEDICARE: MRS. LAUREN SCHUSTER SCHLEIFER LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	104100000X	Social Worker	21246	MD
2	1041S0200X	School Social Worker	21246	MD
3	1041C0700X	Clinical Social Worker	21246	MD

General Provider Information

NPI Number	:	1205536687
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. LAUREN SCHUSTER SCHLEIFER LCSW-C

Provider Business Mailing Address
First Line	:	6712 WESTBROOK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-1717
Country	:	US
Telephone Number	:	443-738-5194
Fax Number	:

Provider Business Practice Location Address
First Line	:	6712 WESTBROOK RD
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21215-1717
Country	:	US
Telephone Number	:	443-738-5194
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/06/2023
Last Update Date	:	03/10/2023

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