Provider Demographics
NPI:1003077827
Name:PLAKITSIS, SUSAN MARIE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SUSAN
Middle Name:MARIE
Last Name:PLAKITSIS
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:MARIE
Other - Last Name:RINCAVAGE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 SCHILLING RD.
Mailing Address - Street 2:SUITE 102
Mailing Address - City:HUNT VALLEY
Mailing Address - State:MD
Mailing Address - Zip Code:21031-9999
Mailing Address - Country:US
Mailing Address - Phone:410-771-9220
Mailing Address - Fax:410-771-9301
Practice Address - Street 1:9 SCHILLING RD STE 102
Practice Address - Street 2:
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8611
Practice Address - Country:US
Practice Address - Phone:410-771-9220
Practice Address - Fax:410-771-9301
Is Sole Proprietor?:No
Enumeration Date:2008-06-24
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD074011041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical