Provider Demographics
NPI:1649346149
Name:LEMON-THOMPSON, DOROTHY M (MSW)
Entity type:Individual
Prefix:MS
First Name:DOROTHY
Middle Name:M
Last Name:LEMON-THOMPSON
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E. JOPPA RD
Mailing Address - Street 2:STE. LL101
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286
Mailing Address - Country:US
Mailing Address - Phone:410-337-7072
Mailing Address - Fax:410-337-7073
Practice Address - Street 1:200 E. JOPPA RD
Practice Address - Street 2:STE. LL101
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286
Practice Address - Country:US
Practice Address - Phone:410-337-7072
Practice Address - Fax:410-337-7073
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD053911041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical