Provider Demographics
NPI:1093721417
Name:SCHULTE, PAMELA (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:PAMELA
Middle Name:
Last Name:SCHULTE
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 RACE STREET
Mailing Address - Street 2:
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MD
Mailing Address - Zip Code:21613-1823
Mailing Address - Country:US
Mailing Address - Phone:410-901-9500
Mailing Address - Fax:410-901-1388
Practice Address - Street 1:400 MUSE ST
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MD
Practice Address - Zip Code:21613-1823
Practice Address - Country:US
Practice Address - Phone:410-901-9500
Practice Address - Fax:410-901-1388
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2010-09-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD110411041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical