Provider Demographics
NPI:1104121789
Name:FEINSTEIN, GAIL J (LCSW-C)
Entity type:Individual
Prefix:
First Name:GAIL
Middle Name:J
Last Name:FEINSTEIN
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:GAIL
Other - Middle Name:J
Other - Last Name:FREEMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LCSW-C
Mailing Address - Street 1:17 WARREN RD
Mailing Address - Street 2:STE 3A
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-5001
Mailing Address - Country:US
Mailing Address - Phone:410-456-4306
Mailing Address - Fax:443-450-3409
Practice Address - Street 1:17 WARREN RD
Practice Address - Street 2:STE 3A
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-5001
Practice Address - Country:US
Practice Address - Phone:410-456-4306
Practice Address - Fax:443-450-3409
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-13
Last Update Date:2018-07-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD104781041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical