Provider Demographics
NPI:1497820401
Name:HARTSOCK, STEVEN LEE (PHD, MSW)
Entity Type:Individual
Prefix:DR
First Name:STEVEN
Middle Name:LEE
Last Name:HARTSOCK
Suffix:
Gender:M
Credentials:PHD, MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1493
Mailing Address - Street 2:
Mailing Address - City:CUMBERLAND
Mailing Address - State:MD
Mailing Address - Zip Code:21501-1493
Mailing Address - Country:US
Mailing Address - Phone:301-777-9005
Mailing Address - Fax:
Practice Address - Street 1:81 BALTIMORE ST STE 212
Practice Address - Street 2:
Practice Address - City:CUMBERLAND
Practice Address - State:MD
Practice Address - Zip Code:21502-3065
Practice Address - Country:US
Practice Address - Phone:301-777-9005
Practice Address - Fax:301-777-3022
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-22
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD051211041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD439831900Medicaid