MEDICARE: APARNA GUPTA O'CONNOR LCSW-C

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1041C0700X	Clinical Social Worker	22281	MD

General Provider Information

NPI Number	:	1235650862
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	APARNA GUPTA O'CONNOR LCSW-C

Provider Business Mailing Address
First Line	:	5457 TWIN KNOLLS ROAD
Second Line	:	SUITE 300 #1132
City	:	COLUMBIA
State	:	MD
Zip	:	21045
Country	:	US
Telephone Number	:	443-317-9246
Fax Number	:

Provider Business Practice Location Address
First Line	:	6701 DEMOCRACY BLVD STE 300
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-7500
Country	:	US
Telephone Number	:	443-317-9246
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/05/2017
Last Update Date	:	05/04/2024

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