Healthcare Provider Details

I. General information

NPI: 1992492987
Provider Name (Legal Business Name): MADISON SINCLAIRE GEE LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/19/2023
Last Update Date: 03/04/2024
Certification Date: 03/04/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7801 OLD BRANCH AVE STE 212
CLINTON MD
20735-1642
US

IV. Provider business mailing address

2600 ESSEX RD APT 202
GWYNN OAK MD
21207-2224
US

V. Phone/Fax

Practice location:
  • Phone: 301-856-8516
  • Fax:
Mailing address:
  • Phone: 267-230-9901
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number29777
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: