Healthcare Provider Details

I. General information

NPI: 1093873416
Provider Name (Legal Business Name): NANCY HARPER DORAN LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/05/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

751 TWINBROOK PKWY
ROCKVILLE MD
20851-1400
US

IV. Provider business mailing address

11447 OAK LEAF DR
SILVER SPRING MD
20901-5013
US

V. Phone/Fax

Practice location:
  • Phone: 240-777-3335
  • Fax: 240-777-3381
Mailing address:
  • Phone: 240-777-3335
  • Fax: 240-777-3381

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number03795
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: