Provider Demographics
NPI:1194905760
Name:BARTLINSKI, EUGENE MICHAEL (LCSW-C)
Entity type:Individual
Prefix:MR
First Name:EUGENE
Middle Name:MICHAEL
Last Name:BARTLINSKI
Suffix:
Gender:M
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8028 RITCHIE HWY
Mailing Address - Street 2:SUITE 308
Mailing Address - City:PASADENA
Mailing Address - State:MD
Mailing Address - Zip Code:21122-1075
Mailing Address - Country:US
Mailing Address - Phone:410-761-0725
Mailing Address - Fax:410-761-2412
Practice Address - Street 1:8028 RITCHIE HWY
Practice Address - Street 2:308
Practice Address - City:PASADENA
Practice Address - State:MD
Practice Address - Zip Code:21122-1075
Practice Address - Country:US
Practice Address - Phone:410-761-0725
Practice Address - Fax:410-761-2412
Is Sole Proprietor?:No
Enumeration Date:2007-11-12
Last Update Date:2014-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD11975101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD407957400Medicaid
MDH285L955Medicare PIN