=====================================================
General NPI Number Information
=====================================================
NPI Number | 1689047425
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ALI PIACENTE LCPC, LCPAT
-----------------------------------------------------
Gender | Female
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/02/2015
-----------------------------------------------------
Last Update Date | 07/29/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 10605 CONCORD ST
-----------------------------------------------------
City | KENSINGTON
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20895-2504
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-861-2248
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8005 GREENWOOD AVE
-----------------------------------------------------
City | TAKOMA PARK
-----------------------------------------------------
State | MD
-----------------------------------------------------
Zip | 20912-6845
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 301-938-6852
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 101YM0800X
-----------------------------------------------------
Taxonomy Name | Mental Health Counselor
-----------------------------------------------------
License Number | LC14743
-----------------------------------------------------
License Number State | MD
-----------------------------------------------------