Most Relevant Information
Provider Data
| NPI Number: | 1003591249 |
| Provider Name: | TODD MICHAEL PSENICSKA LMSW |
| Entity Type: | Individual |
| Taxonomy Code: | 104100000X |
| Specialty: | Social Worker |
| License Number: | 30224 |
Most Important Dates
| Enumeration Date: | 06/15/2023 |
| Last Updated: | 06/15/2023 |
Provider Practice Location
6410 DOBBIN RD STE F
COLUMBIA
MD
210454774
Practice Location Phone/Fax
| Phone: | 2403043327 |
| Fax: | 4106097091 |
Provider Mailing Location
7474 GREENWAY CENTER DR STE 200
GREENBELT
MD
207703524
Provider Mailing Phone/Fax
| Phone: | 2403043327 |
| Fax: | 4106097091 |