Hetman, Scott David
Hetman, Scott David is an individual health care provider with primary practice located at 2701 Eastern Blvd Base Support Bldg Room 201, Middle River MD 21220. He 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 his primary health care specialty. Hetman, Scott David can be contacted via phone (410) 918-6558.Contact Information
Primary practice address
2701 Eastern Blvd Base Support Bldg Room 201
Middle River MD 21220
Phone: (410) 918-6558
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Social Worker | 104100000X | 0903003166 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 0904014910 | Virginia |
| Behavioral Health & Social Service Providers / Clinical | 1041C0700X | 32416 | Maryland |
Profile Details
| NPI number | 1972170900 |
|---|---|
| LBN Legal business name | Hetman, Scott David |
| Credentials | Licensed Clinical Social Worker (LCSW) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jun 8th, 2021 |
| Last updated | Dec 31st, 2024 - about 2 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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