1982176624 NPI number — MARYAM YASMIN ELBALGHITI-WILLIAMS LCSW-C, LICSW

Table of content: MARYAM YASMIN ELBALGHITI-WILLIAMS LCSW-C, LICSW (NPI 1982176624)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1982176624 NPI number — MARYAM YASMIN ELBALGHITI-WILLIAMS LCSW-C, LICSW

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
ELBALGHITI-WILLIAMS
Provider First Name:
MARYAM
Provider Middle Name:
YASMIN
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
LCSW-C, LICSW
Provider Gender Code:
F

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1982176624
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
04/24/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
4709 HARFORD RD # 142
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
BALTIMORE
Provider Business Mailing Address State Name:
MD
Provider Business Mailing Address Postal Code:
21214-3261
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
301-304-8020
Provider Business Mailing Address Fax Number:
877-540-1237

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4709 HARFORD RD # 142
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
BALTIMORE
Provider Business Practice Location Address State Name:
MD
Provider Business Practice Location Address Postal Code:
21214-3261
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
301-304-8020
Provider Business Practice Location Address Fax Number:
877-540-1237
Provider Enumeration Date:
12/19/2018

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 1041C0700X , with the licence number:  LC200001509 , registered in the state of DC ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 0904013588 , registered in the state of VA ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 1041C0700X , with the licence number: 21931 , registered in the state of MD ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)