Healthcare Provider Details

I. General information

NPI: 1104572783
Provider Name (Legal Business Name): D.E. HERRMANN CONSULTING, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/23/2022
Last Update Date: 10/06/2022
Certification Date: 10/06/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

907 HUDSON AVE APT 1
TAKOMA PARK MD
20912-7802
US

IV. Provider business mailing address

907 HUDSON AVE APT 1
TAKOMA PARK MD
20912-7802
US

V. Phone/Fax

Practice location:
  • Phone: 410-300-6021
  • Fax:
Mailing address:
  • Phone: 410-300-6021
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number
License Number State

VII. Legacy identifiers

For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:

VIII. Authorized Official

Name: DANIELLE HERRMANN
Title or Position: OWNER, PSYCHOTHERAPIST
Credential: LCSW-C
Phone: 410-300-6021