Healthcare Provider Details
I. General information
NPI: 1619547361
Provider Name (Legal Business Name): KATHERINE HOWSER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/25/2021
Last Update Date: 09/12/2023
Certification Date: 09/11/2023
Deactivation Date: 07/31/2023
Reactivation Date: 08/31/2023
III. Provider practice location address
4500 BLACK ROCK RD
HAMPSTEAD MD
21074-2636
US
IV. Provider business mailing address
2000 TOWER OAKS BLVD STE 500
ROCKVILLE MD
20852-4282
US
V. Phone/Fax
- Phone: 877-806-1501
- Fax:
- Phone: 301-444-5001
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 104100000X |
| Taxonomy | Social Worker |
| License Number | 30560 |
| License Number State | MD |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 106S00000X |
| Taxonomy | Behavior Technician |
| License Number | |
| License Number State | NULL |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: