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NPI Code Detail

MEDICARE: DR. RENE P LAJE PH.D., LICSW, LCSW-C

MEDICARE: DR. RENE P LAJE PH.D., LICSW, LCSW-C
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
11041C0700XClinical Social WorkerLC50078104DC
21041C0700XClinical Social Worker18758MD

General Provider Information

NPI Number : 1144328808
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RENE P LAJE PH.D., LICSW, LCSW-C
Provider Business Mailing Address
First Line : 5480 WISCONSIN AVE STE 223
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3503
Country : US
Telephone Number : 917-733-5733
Fax Number :
Provider Business Practice Location Address
First Line : 5480 WISCONSIN AVE STE 223
Second Line :
City : CHEVY CHASE
State : MD
Zip : 20815-3503
Country : US
Telephone Number : 301-455-4149
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/20/2006
Last Update Date : 02/27/2025

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