Wellformed AI

NPI 1912644105 · live from the CMS NPI Registry

Adhd Diagnostics

Social Worker, Clinical in Reisterstown, MD. National Provider Identifier 1912644105, active.

NPI record

NPI1912644105 Type 2 · organization
StatusActive
Primary specialtySocial Worker, Clinical 1041C0700X
Practice location360 Main St, Reisterstown, MD 21136
Practice phone443-650-3299
EnumeratedMay 18, 2022
Last updatedMay 18, 2022
Authorized officialAnnette Callahan, Owner

Taxonomies and licenses

TaxonomyCodeLicense
Social Worker, Clinical primary1041C0700X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.