MEDICARE: MS. CAROLYN LAY DOWD LCSW

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	0147	MD
2	1041C0700X	Clinical Social Worker	09040031396	VA

General Provider Information

NPI Number	:	1700922341
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. CAROLYN LAY DOWD LCSW

Provider Business Mailing Address
First Line	:	21913 FOXLAIR RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20882-1306
Country	:	US
Telephone Number	:	301-258-0725
Fax Number	:

Provider Business Practice Location Address
First Line	:	21913 FOXLAIR RD
Second Line	:
City	:	GAITHERSBURG
State	:	MD
Zip	:	20882-1306
Country	:	US
Telephone Number	:	301-258-0725
Fax Number	:

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

Provider Enumeration Date	:	01/30/2007
Last Update Date	:	07/08/2007

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