Provider Demographics
NPI:1629270392
Name:WOLFF, PAULA MAHAN (LCSW-C)
Entity Type:Individual
Prefix:MRS
First Name:PAULA
Middle Name:MAHAN
Last Name:WOLFF
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 1:1777 REISTERSTOWN RD
Mailing Address - Street 2:SUITE 199
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1306
Mailing Address - Country:US
Mailing Address - Phone:410-764-9400
Mailing Address - Fax:410-764-7780
Practice Address - Street 1:1777 REISTERSTOWN RD
Practice Address - Street 2:SUITE 199
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1306
Practice Address - Country:US
Practice Address - Phone:410-764-9400
Practice Address - Fax:410-764-7780
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-04
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD100921041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical