Provider Demographics
NPI:1730408089
Name:CONTRERAS, JESSICA RITA (MSW, LCSW-C)
Entity type:Individual
Prefix:MS
First Name:JESSICA
Middle Name:RITA
Last Name:CONTRERAS
Suffix:
Gender:F
Credentials:MSW, LCSW-C
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Mailing Address - Street 1:3501 SINCLAIR LN
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21213-2029
Mailing Address - Country:US
Mailing Address - Phone:410-732-8800
Mailing Address - Fax:410-534-2392
Practice Address - Street 1:3700 FLEET ST
Practice Address - Street 2:STE. 200
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21224-4200
Practice Address - Country:US
Practice Address - Phone:410-558-4916
Practice Address - Fax:410-522-5070
Is Sole Proprietor?:No
Enumeration Date:2010-05-26
Last Update Date:2015-11-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD172311041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical