Doctor Name: | MR. STEPHEN LERCH |
NPI Number: | 1568435899 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | LICSW |
License Number: | LC303636 |
Business Practice Address: | 3805 31st St Mount Rainier, MD - 207122014 |
Business Phone Number: | 3013277382 |
Business Fax Number: | |
Mailing Address: | 3805 31st St, MOUNT RAINIER |
State: | MD |
Postal Code: | 207122014 |
Phone Number: | 3013277382 |
Fax Number: | |
NPI Enumeration Date: | 02/08/2006 |
NPI Last Update Date: | 09/14/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | LC303636 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | DC |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |