Healthcare Provider Details

I. General information

NPI: 1538751870
Provider Name (Legal Business Name): TAHREA FLEMMING MENSAH LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/08/2021
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6701 DEMOCRACY BLVD STE 300
BETHESDA MD
20817-7500
US

IV. Provider business mailing address

18310 MONTGOMERY VILLAGE AVE STE 300
GAITHERSBURG MD
20879-3552
US

V. Phone/Fax

Practice location:
  • Phone: 240-207-1227
  • Fax:
Mailing address:
  • Phone: 443-424-5166
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number23948
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: