Provider Demographics
NPI:1689246415
Name:ADLER, MICHAL (LCSW-C)
Entity Type:Individual
Prefix:
First Name:MICHAL
Middle Name:
Last Name:ADLER
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 1:6617 SHELRICK PL
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-2640
Mailing Address - Country:US
Mailing Address - Phone:443-286-9283
Mailing Address - Fax:
Practice Address - Street 1:1777 REISTERSTOWN RD STE 50
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-1315
Practice Address - Country:US
Practice Address - Phone:410-429-7594
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-12
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD239431041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical