Provider Demographics
NPI:1114256096
Name:HELLMAN, STACEY J (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:STACEY
Middle Name:J
Last Name:HELLMAN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MRS
Other - First Name:STACEY
Other - Middle Name:J
Other - Last Name:REMPERT
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:10632 LITTLE PATUXENT PKWY
Mailing Address - Street 2:SUITE 340
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-3273
Mailing Address - Country:US
Mailing Address - Phone:410-206-8573
Mailing Address - Fax:410-988-2024
Practice Address - Street 1:10632 LITTLE PATUXENT PKWY
Practice Address - Street 2:SUITE 340
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-3273
Practice Address - Country:US
Practice Address - Phone:410-206-8573
Practice Address - Fax:410-988-2024
Is Sole Proprietor?:Yes
Enumeration Date:2009-12-23
Last Update Date:2016-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133591041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical