Healthcare Provider Details

I. General information

NPI: 1821682642
Provider Name (Legal Business Name): SAMUEL HOWDEN LCSW-C
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/22/2021
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4600 FORBES BLVD
LANHAM MD
20706-4359
US

IV. Provider business mailing address

9091 SNOWDEN RIVER PKWY
COLUMBIA MD
21046-1657
US

V. Phone/Fax

Practice location:
  • Phone: 240-593-8958
  • Fax:
Mailing address:
  • Phone: 240-593-8958
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLC200001886
License Number StateDC
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number17397
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: