Provider Demographics
NPI:1679834931
Name:WELLS, AMINAH (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:AMINAH
Middle Name:
Last Name:WELLS
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 1:3243 WOODRING AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21234-7820
Mailing Address - Country:US
Mailing Address - Phone:443-562-3539
Mailing Address - Fax:
Practice Address - Street 1:11311 MCCORMICK RD STE 350
Practice Address - Street 2:SUITE 350
Practice Address - City:HUNT VALLEY
Practice Address - State:MD
Practice Address - Zip Code:21031-8618
Practice Address - Country:US
Practice Address - Phone:443-849-8200
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-04
Last Update Date:2015-07-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical