MEDICARE: ANDREA RIFKIND 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	22888	MD

General Provider Information

NPI Number	:	1629931159
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ANDREA RIFKIND LCSW-C

Provider Business Mailing Address
First Line	:	8705 IRVINGTON AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20817-3605
Country	:	US
Telephone Number	:	301-802-3094
Fax Number	:

Provider Business Practice Location Address
First Line	:	10410 KENSINGTON PKWY STE 312
Second Line	:
City	:	KENSINGTON
State	:	MD
Zip	:	20895-2948
Country	:	US
Telephone Number	:	301-802-3094
Fax Number	:

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

Provider Enumeration Date	:	12/03/2025
Last Update Date	:	12/03/2025

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