Healthcare Provider Details

I. General information

NPI: 1013757954
Provider Name (Legal Business Name): ISABEL NAMATH LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/29/2024
Last Update Date: 05/29/2024
Certification Date: 05/29/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

50 CARROLL CREEK WAY STE 320
FREDERICK MD
21701-7106
US

IV. Provider business mailing address

9321 REACH RD
POTOMAC MD
20854-2828
US

V. Phone/Fax

Practice location:
  • Phone: 443-708-5856
  • Fax:
Mailing address:
  • Phone: 240-328-8664
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number31510
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: