MEDICARE: JOANNA UBIWA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YP2500X	Professional Counselor	LC9542	MD
2	103T00000X	Psychologist	07415	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1073171856
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JOANNA UBIWA

Provider Business Mailing Address
First Line	:	8730 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	301-996-3576
Fax Number	:

Provider Business Practice Location Address
First Line	:	8730 GEORGIA AVE
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	914-316-3530
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/05/2019
Last Update Date	:	07/24/2025

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Directions to “ JOANNA UBIWA ” Practice Location

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