Provider Demographics
NPI:1851477756
Name:BEHR, RONDA ROSIE (LCSW-C)
Entity Type:Individual
Prefix:MS
First Name:RONDA
Middle Name:ROSIE
Last Name:BEHR
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 1:310 GITTINGS AVE
Mailing Address - Street 2:APT B
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21212-2551
Mailing Address - Country:US
Mailing Address - Phone:410-292-5651
Mailing Address - Fax:410-532-2747
Practice Address - Street 1:414 LYMAN AVE
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21212-3511
Practice Address - Country:US
Practice Address - Phone:410-292-5651
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-31
Last Update Date:2020-03-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDM132981041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD13298OtherSTATE LICENCE