Provider Demographics
NPI:1881329860
Name:OHRENSCHALL, ERIN
Entity type:Individual
Prefix:
First Name:ERIN
Middle Name:
Last Name:OHRENSCHALL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2901 N CALVERT ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-4140
Mailing Address - Country:US
Mailing Address - Phone:443-228-8449
Mailing Address - Fax:
Practice Address - Street 1:725 FALLSWAY
Practice Address - Street 2:BALTIMORE MD 21202
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21202-2120
Practice Address - Country:US
Practice Address - Phone:443-228-8449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-22
Last Update Date:2022-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD254391041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD25439Medicaid