Provider Demographics
NPI:1881210003
Name:HURLEY SOCIAL WORK SERVICES, LLC
Entity Type:Organization
Organization Name:HURLEY SOCIAL WORK SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL SOCIAL WORKER
Authorized Official - Prefix:MS
Authorized Official - First Name:STACY
Authorized Official - Middle Name:LYNN
Authorized Official - Last Name:HURLEY
Authorized Official - Suffix:
Authorized Official - Credentials:MSW, LCSW-C
Authorized Official - Phone:410-733-1516
Mailing Address - Street 1:3200 GREEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:EDGEMERE
Mailing Address - State:MD
Mailing Address - Zip Code:21219-1104
Mailing Address - Country:US
Mailing Address - Phone:410-733-1516
Mailing Address - Fax:
Practice Address - Street 1:3200 GREEN HILL RD
Practice Address - Street 2:
Practice Address - City:EDGEMERE
Practice Address - State:MD
Practice Address - Zip Code:21219-1104
Practice Address - Country:US
Practice Address - Phone:410-733-1516
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-06-23
Last Update Date:2020-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Multi-Specialty
No101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Multi-Specialty
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Multi-Specialty
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchoolGroup - Multi-Specialty
No104100000XBehavioral Health & Social Service ProvidersSocial WorkerGroup - Multi-Specialty
No1041S0200XBehavioral Health & Social Service ProvidersSocial WorkerSchoolGroup - Multi-Specialty