Individual provider · Type 1 NPI

Coretta Agnes Fenner, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1043161995 Active

Practice location

209 W Fayette St Fl 2
Baltimore, MD 21201-3403

Call (410) 949-7666 Map

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X33498 (MD)

Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…

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About NPI 1043161995

Coretta Agnes Fenner, LCSW-C's National Provider Identifier is 1043161995, issued on Feb 6, 2026. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Feb 6, 2026.