Healthcare Provider Details

I. General information

NPI: 1205755410
Provider Name (Legal Business Name): DONYELL TAMIKA MATTHEWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/13/2026
Last Update Date: 07/13/2026
Certification Date: 07/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9301 ANNAPOLIS RD
LANHAM MD
20706-3115
US

IV. Provider business mailing address

40 HEARTHSTONE CT APT A
ANNAPOLIS MD
21403-5719
US

V. Phone/Fax

Practice location:
  • Phone: 240-296-6300
  • Fax: 301-263-7942
Mailing address:
  • Phone: 443-433-9191
  • Fax: 301-263-7942

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: