Provider Demographics
NPI:1629786777
Name:SCHMELL, DEVORA CHANA (LMSW)
Entity Type:Individual
Prefix:
First Name:DEVORA
Middle Name:CHANA
Last Name:SCHMELL
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6611 SHELRICK PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2632
Mailing Address - Country:US
Mailing Address - Phone:201-250-2077
Mailing Address - Fax:
Practice Address - Street 1:6611 SHELRICK PL
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-2632
Practice Address - Country:US
Practice Address - Phone:201-250-2077
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-11-08
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD29347104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker