Provider Demographics
NPI:1558742221
Name:KRANITZ, GENNA I (MSW, LGSW)
Entity Type:Individual
Prefix:
First Name:GENNA
Middle Name:I
Last Name:KRANITZ
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1190 WINTERSON RD
Mailing Address - Street 2:
Mailing Address - City:LINTHICUM
Mailing Address - State:MD
Mailing Address - Zip Code:21090-2209
Mailing Address - Country:US
Mailing Address - Phone:410-684-3806
Mailing Address - Fax:410-684-3973
Practice Address - Street 1:1190 WINTERSON RD
Practice Address - Street 2:
Practice Address - City:LINTHICUM
Practice Address - State:MD
Practice Address - Zip Code:21090-2209
Practice Address - Country:US
Practice Address - Phone:410-684-3806
Practice Address - Fax:410-684-3973
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-17
Last Update Date:2015-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD20817104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker