MEDICARE: MS. SHAMYLA TAREEN

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	19507	MD

General Provider Information

NPI Number	:	1851714703
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHAMYLA TAREEN

Provider Business Mailing Address
First Line	:	8730 GEORGIA AVE SUITE 414C
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	240-644-2855
Fax Number	:

Provider Business Practice Location Address
First Line	:	8730 GEORGIA AVE SUITE 414C
Second Line	:
City	:	SILVER SPRING
State	:	MD
Zip	:	20910-3604
Country	:	US
Telephone Number	:	410-491-6316
Fax Number	:

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

Provider Enumeration Date	:	01/29/2014
Last Update Date	:	05/01/2023

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