MEDICARE: MR. ORIN DEXTER HOWARD 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
1	1041C0700X	Clinical Social Worker	10184	MD
2	1041C0700X	Clinical Social Worker	LC303266	DC

General Provider Information

NPI Number	:	1396091757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MR. ORIN DEXTER HOWARD LICSW, LCSW-C

Provider Business Mailing Address
First Line	:	7228 S ORA CT
Second Line	:
City	:	GREENBELT
State	:	MD
Zip	:	20770-3033
Country	:	US
Telephone Number	:	202-352-6422
Fax Number	:	240-539-0070

Provider Business Practice Location Address
First Line	:	11720 BELTSVILLE DR STE 500-A18
Second Line	:
City	:	BELTSVILLE
State	:	MD
Zip	:	20705-3166
Country	:	US
Telephone Number	:	240-696-9200
Fax Number	:	240-539-0070

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

Provider Enumeration Date	:	08/02/2012
Last Update Date	:	04/06/2021

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