Provider Demographics
NPI:1174849921
Name:SPENGLER, TAMMY JANE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:TAMMY
Middle Name:JANE
Last Name:SPENGLER
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 1:5218 WOOD STOVE LANE
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21045-1915
Mailing Address - Country:US
Mailing Address - Phone:443-248-3437
Mailing Address - Fax:443-863-5886
Practice Address - Street 1:5457 TWIN KNOLLS RD,
Practice Address - Street 2:SUITE 300
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21045-3296
Practice Address - Country:US
Practice Address - Phone:443-248-3437
Practice Address - Fax:443-863-5886
Is Sole Proprietor?:No
Enumeration Date:2010-04-19
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD09953101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD4462106 00Medicaid