George Stoeber, LCSW-C
Individual provider Active NPI Clinical Social Worker · Churchville, MD
NPI 1861149577 · NPPES record last updated Mar 3, 2022
Key facts
- NPI
- 1861149577
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Clinical Social Worker 1041C0700X
- License
- 19717 (MD)
- Practice address
- 2608 Thorny Dr
Churchville, MD 21028-1513 - Phone
- (443) 895-5436
- NPI assigned
- Mar 3, 2022
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19717 | MD | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | 19717 | MD | Yes |
Addresses
Primary practice location
2608 Thorny Dr
Churchville, MD 21028-1513
Mailing address
2608 Thorny Dr
Churchville, MD 21028-1513
Phone (443) 895-5436
Other providers in Churchville, MD
- Amanda Gouin Larkin
- Level Psychiatric Care LLC
- Raymond Paul Lioi
- Sharon McCallum
- Kristin Fisher Sellers
- Christina Megaludis Tsakiris
All providers in Churchville, MD · Clinical Social Worker in Maryland
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 3, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.