Provider Demographics
NPI:1427506450
Name:STRAUSS, JESSICA (MSW, LGSW)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:
Last Name:STRAUSS
Suffix:
Gender:F
Credentials:MSW, LGSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:401 SOUTHWAY
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21218-2520
Mailing Address - Country:US
Mailing Address - Phone:410-336-0333
Mailing Address - Fax:
Practice Address - Street 1:401 SOUTHWAY
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21218-2520
Practice Address - Country:US
Practice Address - Phone:410-336-0333
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD207331041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical