Provider Demographics
NPI:1962617969
Name:GINSBERG, JODY (LCSW-C)
Entity type:Individual
Prefix:
First Name:JODY
Middle Name:
Last Name:GINSBERG
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 1:3 SPRUCE CT
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-1423
Mailing Address - Country:US
Mailing Address - Phone:410-363-0897
Mailing Address - Fax:410-298-8225
Practice Address - Street 1:3 SPRUCE CT
Practice Address - Street 2:
Practice Address - City:OWINGS MILLS
Practice Address - State:MD
Practice Address - Zip Code:21117-1423
Practice Address - Country:US
Practice Address - Phone:410-960-2542
Practice Address - Fax:410-998-3931
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-12
Last Update Date:2022-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD057291041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical