MEDICARE: MS. MARY ANN HAYES LCSWC

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	104100000X	Social Worker	06057	MD

General Provider Information

NPI Number	:	1831235332
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARY ANN HAYES LCSWC

Provider Business Mailing Address
First Line	:	4401 EAST WEST HIGHWAY
Second Line	:	SUITE 200
City	:	BETHESDA
State	:	MD
Zip	:	20814
Country	:	US
Telephone Number	:	301-230-5558
Fax Number	:	301-320-4011

Provider Business Practice Location Address
First Line	:	4401 EAST WEST HIGHWAY
Second Line	:	SUITE 200
City	:	BETHESDA
State	:	MD
Zip	:	20814
Country	:	US
Telephone Number	:	301-230-5558
Fax Number	:	301-320-4011

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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