| Sshewchuk88 | |
|
7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 | |
| (301) 656-9520 | |
| (301) 718-3633 |
| Full Name | Sshewchuk88 |
|---|---|
| Speciality | Social Worker - Clinical |
| Location | 7910 Woodmont Ave, Bethesda, Maryland |
| Authorized Official Name and Position | Susan Shewchuk (LCSW-C) |
| Authorized Official Contact | 3016569520 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sshewchuk88 7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 Ph: (301) 656-9520 | Sshewchuk88 7910 Woodmont Ave Suite 460 Bethesda MD 20814-3002 Ph: (301) 656-9520 |
| NPI Number | 1184934242 |
|---|---|
| Provider Enumeration Date | 10/07/2010 |
| Last Update Date | 10/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184934242 | NPI | - | NPPES |
| 11612 | Other | MD | MD LICENSE NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | 11612 (Maryland) | Primary |
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