=====================================================
General NPI Number Information
=====================================================
NPI Number | 1376482265
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | MAYA VAKAS
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/26/2026
-----------------------------------------------------
Last Update Date | 03/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1901 RANDOLPH RD
-----------------------------------------------------
City | WHEATON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20902-1447
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 240-329-1388
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8010 GRAMERCY BLVD APT 343
-----------------------------------------------------
City | DERWOOD
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20855-2357
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone |
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1041C0700X
-----------------------------------------------------
Taxonomy Name | Clinical Social Worker
-----------------------------------------------------
License Number | 22169
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------