Provider Demographics
NPI:1699036822
Name:GERWIG, NANCY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:GERWIG
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:NANCY
Other - Middle Name:
Other - Last Name:LINTHICUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:710 OBRECHT RD
Mailing Address - Street 2:
Mailing Address - City:SYKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21784-7650
Mailing Address - Country:US
Mailing Address - Phone:410-759-8808
Mailing Address - Fax:410-795-8893
Practice Address - Street 1:710 OBRECHT RD
Practice Address - Street 2:
Practice Address - City:SYKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21784-7650
Practice Address - Country:US
Practice Address - Phone:410-795-8808
Practice Address - Fax:410-795-8893
Is Sole Proprietor?:No
Enumeration Date:2012-06-05
Last Update Date:2019-03-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD162681041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical