Provider Demographics
NPI:1225051352
Name:KRIMMEL, JANE L (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:JANE
Middle Name:L
Last Name:KRIMMEL
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:MS
Other - First Name:JANE
Other - Middle Name:LENOX
Other - Last Name:KRIMMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:3756 FOXFORD STREAM RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21236-2900
Mailing Address - Country:US
Mailing Address - Phone:443-939-5850
Mailing Address - Fax:667-234-3402
Practice Address - Street 1:1447 YORK RD STE 506
Practice Address - Street 2:
Practice Address - City:LUTHERVILLE
Practice Address - State:MD
Practice Address - Zip Code:21093-6022
Practice Address - Country:US
Practice Address - Phone:410-825-2281
Practice Address - Fax:410-825-2280
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-26
Last Update Date:2021-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD06393104100000X, 1041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDT080-0023OtherGROUP HOSP.& MED. SERVICE
MD544172-04OtherCAREFIRST
MDLICENSE 06393OtherLICENSE