Provider Demographics
NPI:1992977169
Name:EISENBERG, DEBORAH (LCSWC)
Entity type:Individual
Prefix:MS
First Name:DEBORAH
Middle Name:
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:LCSWC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4419 FALLS ROAD
Mailing Address - Street 2:UNIT C
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21211
Mailing Address - Country:US
Mailing Address - Phone:410-662-7077
Mailing Address - Fax:410-889-6688
Practice Address - Street 1:4419 FALLS ROAD
Practice Address - Street 2:UNIT C
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21211
Practice Address - Country:US
Practice Address - Phone:410-662-7077
Practice Address - Fax:410-889-6688
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-28
Last Update Date:2008-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD133081041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical