Healthcare Provider Details

I. General information

NPI: 1730015843
Provider Name (Legal Business Name): VICTORIA GINA CHECA LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2026
Last Update Date: 06/18/2026
Certification Date: 06/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20528 BOLAND FARM RD STE 204
GERMANTOWN MD
20876-4038
US

IV. Provider business mailing address

4836 CHEVY CHASE BLVD
CHEVY CHASE MD
20815-5340
US

V. Phone/Fax

Practice location:
  • Phone: 301-778-1415
  • Fax:
Mailing address:
  • Phone: 202-669-9958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number34943
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: