Healthcare Provider Details

I. General information

NPI: 1639623432
Provider Name (Legal Business Name): EMILY R BUCHEIMER LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: EMILY R GUBISH LGSW

II. Dates (important events)

Enumeration Date: 08/09/2016
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

20410 OBSERVATION DR STE 212
GERMANTOWN MD
20876-4068
US

IV. Provider business mailing address

9301 ANNAPOLIS RD STE 300
LANHAM MD
20706-3125
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-5920
  • Fax:
Mailing address:
  • Phone: 240-731-6593
  • Fax: 301-459-9110

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number21687
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: