Provider Demographics
NPI:1275267312
Name:PINDER, JACK THOMAS (LCSW-C)
Entity type:Individual
Prefix:MR
First Name:JACK
Middle Name:THOMAS
Last Name:PINDER
Suffix:
Gender:M
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 1:5500 HARFORD RD STE 201
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21214-2290
Mailing Address - Country:US
Mailing Address - Phone:410-205-5301
Mailing Address - Fax:
Practice Address - Street 1:5500 HARFORD RD STE 201
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21214-2290
Practice Address - Country:US
Practice Address - Phone:410-205-5301
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-14
Last Update Date:2025-06-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD28865104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker