Rutkowski, Marina Renee

Rutkowski, Marina Renee is an sole proprietor health care provider with primary practice located at 1009 Frederick Rd , Catonsville MD 21228-5055. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Social Worker, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Rutkowski, Marina Renee can be contacted via phone (440) 467-0648.

Contact Information

Primary practice address
1009 Frederick Rd Catonsville MD 21228-5055
Phone: (440) 467-0648
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Social Worker 104100000X ASW 20571 California
Behavioral Health & Social Service Providers / Clinical 1041C0700X CW016449 Pennsylvania
Behavioral Health & Social Service Providers / Clinical 1041C0700X 149013295 Illinois
Behavioral Health & Social Service Providers / Clinical 1041C0700X CSW004620 Georgia

Profile Details

NPI number 1326261645
LBN Legal business name Rutkowski, Marina Renee
Credentials LCSW-C
Entity Individual
Sole proprietor 1 Yes
Enumeration date Apr 11th, 2007
Last updated Nov 24th, 2020 - about 6 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1326261645 NPPES
Maryland MEDICAID 143574400

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