IndividualActive
Jack Vallejo, MSW, LCSWC
NPI 1346626181 · School Social Worker · Eldersburg, MD
Provider details
- NPI number
- 1346626181
- Entity type
- Individual
- Primary specialty
- School Social WorkerBehavioral Health & Social Service Providers
- Credential
- MSW, LCSWC
- Sex
- Male
- Sole proprietor
- No
- License
- 07259 (MD)
Specialties & taxonomies
Behavioral Health & Social Service Providers
Practice location
1311 Londontown Blvd
Suite # 130a
Eldersburg, MD 21784-6454
Phone: (410) 356-9200
Fax: (443) 200-0267
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 1229
Sykesville, MD 21784-1229
Registry dates
- Enumerated
- 2015-08-04
- Last updated
- 2015-08-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.