Individual provider · Type 1 NPI

Samantha Jane Gordon Fuld, LCSW-C

Clinical Social Worker · Baltimore, MD

NPI number 1619291465 Active

Practice location

1238 Towson St
Baltimore, MD 21230-5326

Call (989) 751-1087 Map

Mailing address

1238 Towson St Apt 3E
Baltimore, MD 21230-5326

Other practice locations

  • 495 48th Ave, Apt 3E, Long Island City, NY 11109-5535 · (989) 751-1087

Specialties and licenses

TaxonomyCodeLicense
Clinical Social Worker 1041C0700X081546 (NY)
Clinical Social Worker Primary 1041C0700X22368 (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 1619291465

Samantha Jane Gordon Fuld, LCSW-C's National Provider Identifier is 1619291465, issued on Mar 23, 2010. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Baltimore, MD. The record was last updated on Jan 8, 2021.