Provider Demographics
NPI:1912425422
Name:MEISNER, DANIEL SETH (LCSW-C)
Entity Type:Individual
Prefix:
First Name:DANIEL
Middle Name:SETH
Last Name:MEISNER
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 1:2205 CREST RD
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4206
Mailing Address - Country:US
Mailing Address - Phone:410-916-4025
Mailing Address - Fax:
Practice Address - Street 1:21 WEST RD STE 111
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21204-2307
Practice Address - Country:US
Practice Address - Phone:410-494-9440
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-05
Last Update Date:2017-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD183071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD18307OtherBOARD OF SOCIAL WORK EXAMINERS OF THE STATE OF MARYLAND