Provider Demographics
NPI:1164958963
Name:COTTON, SHMUEL (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SHMUEL
Middle Name:
Last Name:COTTON
Suffix:
Gender:M
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 1:7638 CARLA RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-4409
Mailing Address - Country:US
Mailing Address - Phone:410-207-8193
Mailing Address - Fax:
Practice Address - Street 1:7638 CARLA RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-4409
Practice Address - Country:US
Practice Address - Phone:410-207-8193
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-11
Last Update Date:2017-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD161621041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical