Provider Demographics
NPI:1346858834
Name:STUTHMANN, JANE KATHRYN (LMSW)
Entity Type:Individual
Prefix:
First Name:JANE
Middle Name:KATHRYN
Last Name:STUTHMANN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:119 SMITHWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:CATONSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21228-4945
Mailing Address - Country:US
Mailing Address - Phone:443-743-0652
Mailing Address - Fax:443-276-0905
Practice Address - Street 1:10632 LITTLE PATUXENT PKWY STE 327
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6283
Practice Address - Country:US
Practice Address - Phone:443-864-5647
Practice Address - Fax:443-276-0905
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-21
Last Update Date:2020-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD25275104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker