Provider Demographics
NPI:1215910617
Name:FLAMER, LOUISE YVONNE (LCSW-C)
Entity type:Individual
Prefix:
First Name:LOUISE
Middle Name:YVONNE
Last Name:FLAMER
Suffix:
Gender:F
Credentials:LCSW-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:122 WEBER ST
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21230-4106
Mailing Address - Country:US
Mailing Address - Phone:410-752-5525
Mailing Address - Fax:410-752-5531
Practice Address - Street 1:122 WEBER ST
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21230-4106
Practice Address - Country:US
Practice Address - Phone:410-752-5525
Practice Address - Fax:410-752-5531
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD074881041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD54688102OtherCAREFIRST
T5140005OtherREGIONAL BLUE PREFERRED
MD54688102OtherCAREFIRST