Healthcare Provider Details

I. General information

NPI: 1467446179
Provider Name (Legal Business Name): JOANNE KAHN MILOBSKY LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: X

II. Dates (important events)

Enumeration Date: 09/08/2005
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3204 TOWER OAKS BLVD
ROCKVILLE MD
20852-4250
US

IV. Provider business mailing address

12004 STARVIEW CT
POTOMAC MD
20854-2858
US

V. Phone/Fax

Practice location:
  • Phone: 301-770-3801
  • Fax: 301-770-3802
Mailing address:
  • Phone: 301-424-0783
  • Fax: 301-294-3194

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number08387
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: