Healthcare Provider Details

I. General information

NPI: 1245943448
Provider Name (Legal Business Name): SINEM OZGON MENESES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/03/2023
Last Update Date: 08/25/2023
Certification Date: 08/25/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6123 MONTROSE RD
ROCKVILLE MD
20852-4860
US

IV. Provider business mailing address

13232 MEANDER COVE DR
GERMANTOWN MD
20874-3729
US

V. Phone/Fax

Practice location:
  • Phone: 240-800-5772
  • Fax:
Mailing address:
  • Phone: 240-728-9969
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number20018
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: