Healthcare Provider Details

I. General information

NPI: 1992616841
Provider Name (Legal Business Name): ELISE GOWER LMSW
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/16/2026
Last Update Date: 09/16/2026
Certification Date: 09/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

10000 COLESVILLE RD
SILVER SPRING MD
20901-2335
US

IV. Provider business mailing address

1706 WHITEHALL DR
SILVER SPRING MD
20904-2298
US

V. Phone/Fax

Practice location:
  • Phone: 301-367-9147
  • Fax:
Mailing address:
  • Phone: 410-370-4703
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code104100000X
TaxonomySocial Worker
License Number35469
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: