Provider Demographics
NPI:1417119959
Name:RADION, AMY LORRAINE (LCSWC)
Entity Type:Individual
Prefix:
First Name:AMY
Middle Name:LORRAINE
Last Name:RADION
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:AMY
Other - Middle Name:LORRAINE
Other - Last Name:LANHAM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSWC
Mailing Address - Street 1:103 BUSH CHAPEL RD
Mailing Address - Street 2:
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-2913
Mailing Address - Country:US
Mailing Address - Phone:410-591-5533
Mailing Address - Fax:
Practice Address - Street 1:120 PENN ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21201-1082
Practice Address - Country:US
Practice Address - Phone:410-706-2501
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-26
Last Update Date:2023-09-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD130791041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical