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NPI Code Detail

MEDICARE: MS. BRIDGETTE RATNAM LCSW-C

MEDICARE: MS. BRIDGETTE RATNAM 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 Worker14852MD

General Provider Information

NPI Number : 1861624249
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. BRIDGETTE RATNAM LCSW-C
Provider Business Mailing Address
First Line : 10015 OLD COLUMBIA RD STE B215
Second Line :
City : COLUMBIA
State : MD
Zip : 21046-1865
Country : US
Telephone Number : 240-593-1307
Fax Number :
Provider Business Practice Location Address
First Line : 1363 BECKNEL AVE
Second Line :
City : ODENTON
State : MD
Zip : 21113-1501
Country : US
Telephone Number : 240-593-1307
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/18/2009
Last Update Date : 07/28/2019

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Directions to “ MS. BRIDGETTE RATNAM LCSW-C” Practice Location

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