Individual provider · Type 1 NPI

Charles A. Reisdorf Jr., LCSW-C

Clinical Social Worker · Frederick, MD

NPI number 1275666802 Active

Practice location

604 Solarex Ct, Suite 201
Frederick, MD 21703-7005

Call (301) 663-8263 Map

Fax (301) 682-5326

Mailing address

6501 N Charles St
Baltimore, MD 21204-6819

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker Primary 1041C0700X05776 (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 1275666802

Charles A. Reisdorf Jr., LCSW-C's National Provider Identifier is 1275666802, issued on Mar 13, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Frederick, MD. The record was last updated on Jul 8, 2007.