Provider Demographics
NPI:1639478316
Name:TOPLIN, DAVID MICHAEL (LCSW-C)
Entity type:Individual
Prefix:
First Name:DAVID
Middle Name:MICHAEL
Last Name:TOPLIN
Suffix:
Gender:M
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 1:300 REISTERSTOWN RD SUITE # 101
Mailing Address - Street 2:C/O TREE OF LIFE COUNSELING, LLC
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5329
Mailing Address - Country:US
Mailing Address - Phone:410-358-1111
Mailing Address - Fax:443-261-0850
Practice Address - Street 1:300 REISTERSTOWN RD SUITE # 101
Practice Address - Street 2:C/O TREE OF LIFE COUNSELING, LLC
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-5329
Practice Address - Country:US
Practice Address - Phone:410-358-1111
Practice Address - Fax:443-261-0850
Is Sole Proprietor?:Yes
Enumeration Date:2011-03-21
Last Update Date:2014-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD166741041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD0409171-00Medicaid
MD268115Medicare PIN