Provider Demographics
NPI:1548610819
Name:CUTLER, SADE (LCSW-C)
Entity Type:Individual
Prefix:
First Name:SADE
Middle Name:
Last Name:CUTLER
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:PO BOX 1855
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1833
Mailing Address - Country:US
Mailing Address - Phone:240-600-0941
Mailing Address - Fax:443-548-2778
Practice Address - Street 1:5739 JONQUIL AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21215-3509
Practice Address - Country:US
Practice Address - Phone:240-600-0941
Practice Address - Fax:443-548-2778
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-17
Last Update Date:2020-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD193391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD559912100Medicaid