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NPI Code Detail

MEDICARE: RACHEL S BRODY LCSW-C

MEDICARE: RACHEL S BRODY 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 Worker21780MD

General Provider Information

NPI Number : 1871073536
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL S BRODY LCSW-C
Provider Business Mailing Address
First Line : 3300 OLNEY SANDY SPRING RD STE 340
Second Line :
City : OLNEY
State : MD
Zip : 20832-3306
Country : US
Telephone Number : 301-570-7500
Fax Number : 301-570-7504
Provider Business Practice Location Address
First Line : 3300 OLNEY SANDY SPRING RD STE 340
Second Line :
City : OLNEY
State : MD
Zip : 20832-3306
Country : US
Telephone Number : 301-570-7500
Fax Number : 301-570-7504
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/21/2018
Last Update Date : 08/21/2018

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Directions to “ RACHEL S BRODY LCSW-C” Practice Location

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