Healthcare Provider Details

I. General information

NPI: 1831804491
Provider Name (Legal Business Name): AZHIA-LIN ELIZABETH THOMPSON
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/18/2023
Last Update Date: 02/13/2026
Certification Date: 02/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

800 S FREDERICK AVE STE 200
GAITHERSBURG MD
20877-4152
US

IV. Provider business mailing address

14 ANNA CT
GAITHERSBURG MD
20877-3429
US

V. Phone/Fax

Practice location:
  • Phone: 301-233-5021
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number29472
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: