Provider Demographics
NPI:1821457177
Name:HART, COURTNEY (LCSW-C)
Entity Type:Individual
Prefix:
First Name:COURTNEY
Middle Name:
Last Name:HART
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:COURTNEY
Other - Middle Name:
Other - Last Name:STEVENSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:260 GATEWAY DR STE 1A
Mailing Address - Street 2:
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21014-4266
Mailing Address - Country:US
Mailing Address - Phone:301-922-6445
Mailing Address - Fax:
Practice Address - Street 1:260 GATEWAY DR STE 1A
Practice Address - Street 2:
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21014-4266
Practice Address - Country:US
Practice Address - Phone:301-922-6445
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-02-15
Last Update Date:2021-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD175321041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical