Healthcare Provider Details
I. General information
NPI: 1417226291
Provider Name (Legal Business Name): NORMA CONSUELO QUICHIZ LCSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y
II. Dates (important events)
Enumeration Date: 12/22/2011
Last Update Date: 09/19/2025
Certification Date: 09/19/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US
IV. Provider business mailing address
8901 ROCKVILLE PIKE
BETHESDA MD
20889-0001
US
V. Phone/Fax
- Phone: 301-295-0500
- Fax:
- Phone: 301-319-4720
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | LCSW3720 |
| License Number State | HI |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 3720 |
| License Number State | HI |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: