Provider Demographics
NPI:1801056932
Name:MARKS, BENJAMIN (LCSW)
Entity type:Individual
Prefix:MR
First Name:BENJAMIN
Middle Name:
Last Name:MARKS
Suffix:
Gender:M
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2828 DAMASCUS CT
Mailing Address - Street 2:APT E
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-3034
Mailing Address - Country:US
Mailing Address - Phone:443-255-0050
Mailing Address - Fax:
Practice Address - Street 1:2828 DAMASCUS CT
Practice Address - Street 2:APT E
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21209-3034
Practice Address - Country:US
Practice Address - Phone:443-255-0050
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-12
Last Update Date:2021-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD137571041C0700X
CA1011601041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical