Provider Demographics
NPI:1467589119
Name:EMDEN, RONNI F (LCSW-C)
Entity type:Individual
Prefix:
First Name:RONNI
Middle Name:F
Last Name:EMDEN
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 1:10630 LITTLE PATUXENT PKWY STE 307
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA
Mailing Address - State:MD
Mailing Address - Zip Code:21044-6211
Mailing Address - Country:US
Mailing Address - Phone:443-629-5559
Mailing Address - Fax:410-715-1182
Practice Address - Street 1:10630 LITTLE PATUXENT PKWY STE 307
Practice Address - Street 2:
Practice Address - City:COLUMBIA
Practice Address - State:MD
Practice Address - Zip Code:21044-6211
Practice Address - Country:US
Practice Address - Phone:443-629-5559
Practice Address - Fax:410-715-1182
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2024-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD039281041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical