Provider Demographics
NPI:1942623533
Name:BJORKLUND, JEANNETTE CAMPBELL (MSW, LCSW-C)
Entity Type:Individual
Prefix:
First Name:JEANNETTE
Middle Name:CAMPBELL
Last Name:BJORKLUND
Suffix:
Gender:F
Credentials:MSW, LCSW-C
Other - Prefix:
Other - First Name:JEANNETTE
Other - Middle Name:ALICE
Other - Last Name:CAMPBELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MSW, LCSW-C
Mailing Address - Street 1:425 S ROBINSON ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21224-2219
Mailing Address - Country:US
Mailing Address - Phone:443-257-0717
Mailing Address - Fax:
Practice Address - Street 1:425 S ROBINSON ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-2219
Practice Address - Country:US
Practice Address - Phone:443-257-0717
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-02-02
Last Update Date:2014-02-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD123351041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical