MEDICARE: NOHA PHILLIPS

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

General Provider Information

NPI Number	:	1881325686
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	NOHA PHILLIPS

Provider Business Mailing Address
First Line	:	8796 BOULDER RIDGE RD
Second Line	:
City	:	LAUREL
State	:	MD
Zip	:	20723-5901
Country	:	US
Telephone Number	:	630-418-1808
Fax Number	:

Provider Business Practice Location Address
First Line	:	4905 DEL RAY AVE STE 301
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20814-2558
Country	:	US
Telephone Number	:	240-752-7650
Fax Number	:

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

Provider Enumeration Date	:	06/22/2022
Last Update Date	:	03/26/2025

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Directions to “ NOHA PHILLIPS ” Practice Location

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