Healthcare Provider Details

I. General information

NPI: 1114639499
Provider Name (Legal Business Name): ALEXIS NICOLE BELL LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 12/19/2022
Last Update Date: 12/31/2025
Certification Date: 12/31/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7404 EXECUTIVE PL STE 400 #1020
LANHAM MD
20706-6228
US

IV. Provider business mailing address

5402 BIVENS RD
MARION MD
21838-2524
US

V. Phone/Fax

Practice location:
  • Phone: 301-778-4876
  • Fax:
Mailing address:
  • Phone: 301-778-4876
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License NumberQ1-0012830
License Number StateDE
# 2
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number27523
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: