Healthcare Provider Details

I. General information

NPI: 1659344885
Provider Name (Legal Business Name): DOUGLAS LEHMAN LCSW, CAC III
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2006
Last Update Date: 08/22/2023
Certification Date: 08/22/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-4603
US

IV. Provider business mailing address

8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US

V. Phone/Fax

Practice location:
  • Phone: 301-400-1298
  • Fax:
Mailing address:
  • Phone: 301-400-1298
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number991482
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: