Provider Demographics
NPI:1841333184
Name:GUTTMAN, DANICA LEE (LCSWC BCD)
Entity type:Individual
Prefix:MS
First Name:DANICA
Middle Name:LEE
Last Name:GUTTMAN
Suffix:
Gender:F
Credentials:LCSWC BCD
Other - Prefix:
Other - First Name:DANICA
Other - Middle Name:
Other - Last Name:BOSKIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:104 CHURCH LN
Mailing Address - Street 2:SUITE 206
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-3786
Mailing Address - Country:US
Mailing Address - Phone:410-580-0244
Mailing Address - Fax:410-630-1008
Practice Address - Street 1:104 CHURCH LN
Practice Address - Street 2:SUITE 206
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21208-3786
Practice Address - Country:US
Practice Address - Phone:410-580-0244
Practice Address - Fax:410-630-1008
Is Sole Proprietor?:No
Enumeration Date:2007-02-15
Last Update Date:2015-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLIC103081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical