Provider Demographics
NPI:1407369184
Name:KUNSCHMAN, LURINE MARIE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:LURINE
Middle Name:MARIE
Last Name:KUNSCHMAN
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 1:2903 DUNLEER RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21222-5113
Mailing Address - Country:US
Mailing Address - Phone:410-282-9430
Mailing Address - Fax:410-282-9433
Practice Address - Street 1:2903 DUNLEER RD
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21222-5113
Practice Address - Country:US
Practice Address - Phone:410-282-9430
Practice Address - Fax:410-282-9433
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD164201041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical