NPI 1679715619 · live from the CMS NPI Registry
Dennis James Addison, MSW, LGSW
Social Worker, Clinical in Randallstown, MD. National Provider Identifier 1679715619, active.
NPI record
| NPI | 1679715619 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Social Worker, Clinical 1041C0700X |
| Practice location | 5310 Old Court Rd, Suite 105, Randallstown, MD 21133 |
| Practice phone | 410-496-2410 |
| Enumerated | April 6, 2009 |
| Last updated | April 6, 2009 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Social Worker, Clinical primary | 1041C0700X | G09392 (MD) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.