Doctor Name: | NIURKA CANELO SHKOLNIK |
NPI Number: | 1104220060 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LGSW |
License Number: | 18912 |
Business Practice Address: | 6918 Ridge Rd Rosedale, MD - 212373854 |
Business Phone Number: | 4434421568 |
Business Fax Number: | 4434421569 |
Mailing Address: | 6918 Ridge Rd, ROSEDALE |
State: | MD |
Postal Code: | 212373854 |
Phone Number: | 4434421568 |
Fax Number: | 4434421569 |
NPI Enumeration Date: | 10/21/2014 |
NPI Last Update Date: | 10/21/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | 18912 |
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 |