Provider Demographics
NPI:1861149577
Name:STOEBER, GEORGE (LCSW-C)
Entity type:Individual
Prefix:
First Name:GEORGE
Middle Name:
Last Name:STOEBER
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 1:2608 THORNY DR
Mailing Address - Street 2:
Mailing Address - City:CHURCHVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21028-1513
Mailing Address - Country:US
Mailing Address - Phone:443-895-5436
Mailing Address - Fax:
Practice Address - Street 1:2608 THORNY DR
Practice Address - Street 2:
Practice Address - City:CHURCHVILLE
Practice Address - State:MD
Practice Address - Zip Code:21028-1513
Practice Address - Country:US
Practice Address - Phone:443-895-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-03-03
Last Update Date:2022-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD197171041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical