MEDICARE: MELVIN EISENSTEIN 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	1041C0700X	Clinical Social Worker	04137	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1689825143
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MELVIN EISENSTEIN LCSW-C

Provider Business Mailing Address
First Line	:	5913 EDNA AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21214-1806
Country	:	US
Telephone Number	:	410-319-9935
Fax Number	:

Provider Business Practice Location Address
First Line	:	5913 EDNA AVE
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21214-1806
Country	:	US
Telephone Number	:	410-319-9935
Fax Number	:

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

Provider Enumeration Date	:	10/02/2008
Last Update Date	:	09/23/2009

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Directions to “ MELVIN EISENSTEIN LCSW-C” Practice Location

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