Healthcare Provider Details

I. General information

NPI: 1437295680
Provider Name (Legal Business Name): AMY MUHLBACH LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/29/2007
Last Update Date: 09/10/2026
Certification Date: 09/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

903 BRIGHTSEAT RD
LANDOVER MD
20785-4725
US

IV. Provider business mailing address

4115 28TH ST
MOUNT RAINIER MD
20712-1818
US

V. Phone/Fax

Practice location:
  • Phone: 301-333-2980
  • Fax:
Mailing address:
  • Phone: 202-664-6630
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberLC50078050
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number29447
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: