Doctor Name: | MR. CHARLES JOHN SEMICH |
NPI Number: | 1013962786 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LCSW-C |
License Number: | 04943 |
Business Practice Address: | 8175 Baltimore National Pike Ellicott City, MD - 210433405 |
Business Phone Number: | 4103138804 |
Business Fax Number: | 4436380204 |
Mailing Address: | 8175 Baltimore National Pike, ELLICOTT CITY |
State: | MD |
Postal Code: | 210433405 |
Phone Number: | 4103138804 |
Fax Number: | 4436380204 |
NPI Enumeration Date: | 05/23/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 04943 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |