Healthcare Provider Details

I. General information

NPI: 1801270434
Provider Name (Legal Business Name): MAURINE TINGWEI
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/14/2015
Last Update Date: 09/11/2025
Certification Date: 09/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1917 FOX ST
ADELPHI MD
20783-2367
US

IV. Provider business mailing address

1917 FOX ST
ADELPHI MD
20783-2367
US

V. Phone/Fax

Practice location:
  • Phone: 301-792-2394
  • Fax:
Mailing address:
  • Phone: 301-792-2394
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License NumberHHA11389
License Number StateDC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: