Healthcare Provider Details
I. General information
NPI: 1932337987
Provider Name (Legal Business Name): TANIA PATRICIA AROSTEGUI LCSW-C
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/29/2009
Last Update Date: 11/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
8630 FENTON ST SUITE 1200
SILVER SPRING MD
20910-3806
US
IV. Provider business mailing address
8630 FENTON ST SUITE 1204
SILVER SPRING MD
20910-3806
US
V. Phone/Fax
- Phone: 301-585-1250
- Fax: 301-585-6289
- Phone: 301-340-7525
- Fax: 301-495-0318
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1041C0700X |
| Taxonomy | Clinical Social Worker |
| License Number | 16424 |
| License Number State | MD |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: